Organization
BLACKWELL'S COMMUNITY LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN BLACKWELL (DIRECTOR)
(336) 317-1926
Entity
Organization
Contact information
Practice address
426 SOMERS AVE, BURLINGTON, NC 27215-2032
(336) 317-1926
(336) 674-6190
Mailing address
426 SOMERS AVE, BURLINGTON, NC 27215-2032
(336) 317-1926
(336) 674-6190
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NC
Other
Enumeration date
01/14/2010
Last updated
07/21/2022
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