Organization
BLACKNALL FELTON GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA W GREENE (ADMINISTRATOR)
(252) 348-8840
Entity
Organization
Contact information
Practice address
222 CONNARISTA RD, KELFORD, NC 27847-9602
(252) 348-8840
(252) 348-8840
Mailing address
222 CONNARISTA RD, KELFORD, NC 27847-9602
(252) 348-8840
(252) 348-8840
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
008038
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008038
—
NC
Enumeration date
08/13/2013
Last updated
10/17/2013
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