Organization
HOME AWAY FROM HOME
Active
Organization
HOME AWAY FROM HOME
Active
Other names
Blackwell Rankin Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHUVON LEVETTE RANKIN RN (OWNER, ADMINISTRATOR)
(336) 348-9924
Entity
Organization
Contact information
Practice address
334 ZEB RD, GIBSONVILLE, NC 27249-9507
(336) 342-2213
(336) 349-7985
Mailing address
PO BOX 155, REIDSVILLE, NC 27323-0155
(336) 342-2213
(336) 349-7985
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL 079-051
NC
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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