Organization
MILDREDS FAMILY CARE,INC.
Active
Other names
Mildred''s Family Care,Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL LAVALLE BLACKWELL JR. (PRESIDENT)
(336) 421-0646
Entity
Organization
Contact information
Practice address
3592 MARSHALL GRAVES RD, YANCEYVILLE, NC 27379-8630
(336) 213-2132
(336) 421-5666
Mailing address
3592 MARSHALL GRAVES RD, YANCEYVILLE, NC 27379-8630
(336) 421-0646
(336) 421-5666
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
FCL-017-006
NC
Other
Enumeration date
12/21/2011
Last updated
11/17/2023
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