Organization
OAKWOOD FAMILY CARE HOME
Active
Other names
Melvin L. Blackwell
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EDITH BLACKWELL (ADMINISTRATOR)
(336) 342-2960
Entity
Organization
Contact information
Practice address
511 NC HIGHWAY 87, REIDSVILLE, NC 27320-9725
(336) 342-2960
Mailing address
PO BOX 202, REIDSVILLE, NC 27323-2020
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-079-019
NC
343900000X
Non-emergency Medical Transport (VAN)
FCL-079-019
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801145
—
NC
Enumeration date
03/08/2007
Last updated
07/09/2008
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