Organization · Type 2 NPI
Mildred Blackwell
Adult Care Home Facility · Elon, NC
NPI number
1164542882
Active
Practice location
3658 Cherry Grove Rd
Elon, NC 27244-9483
Mailing address
203 N Main St, Suite 315
Roxboro, NC 27573-5343
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | HAL017003 (NC) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Other adult care home facility providers in Elon
About NPI 1164542882
Mildred Blackwell's National Provider Identifier is 1164542882, issued on Mar 29, 2007. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Elon, NC. The record was last updated on Aug 22, 2020.