Organization
BLACKWELL-RANKIN INC
Active
Other names
Home Away From Home Site 2
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHUVON LEVETTE BLACKWELL-RANKIN RN (OWNER, ADMINISTRATOR)
(336) 215-8866
Entity
Organization
Contact information
Practice address
348 ZEB RD, GIBSONVILLE, NC 27249-9507
(336) 215-8866
(336) 349-7985
Mailing address
PO BOX 155, REIDSVILLE, NC 27323-0155
(336) 215-8866
(336) 349-7985
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FCL079078
NC
Other
Enumeration date
07/31/2010
Last updated
07/31/2010
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