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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