# MILDRED BLACKWELL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dogwood Forest Family Care Two
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992025316
- **Authorized official:** MISS MILDRED BLACKWELL (OWNER)
- **Authorized official phone:** (336) 421-0646

## Contact information

- **Practice address:** 3592 MARSHALL GRAVES RD, YANCEYVILLE, NC 27379-8630
- **Practice address phone:** (336) 421-0646
- **Mailing address:** 203 N MAIN ST, SUITE 315, ROXBORO, NC 27573-5343
- **Mailing address phone:** (336) 421-0646
- **Mailing address fax:** (336) 599-4349

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 06/08/2010
- **Last updated:** 06/08/2010