Organization
MILDRED BLACKWELL
Active
Other names
Dogwood Forest Family Care Two
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MILDRED BLACKWELL (OWNER)
(336) 421-0646
Entity
Organization
Contact information
Practice address
3592 MARSHALL GRAVES RD, YANCEYVILLE, NC 27379-8630
(336) 421-0646
Mailing address
203 N MAIN ST, SUITE 315, ROXBORO, NC 27573-5343
(336) 421-0646
(336) 599-4349
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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