Organization · Type 2 NPI

Mildred Blackwell

Adult Care Home Facility · Yanceyville, NC

NPI number 1992025316 Active

Practice location

3592 Marshall Graves Rd
Yanceyville, NC 27379-8630

Call (336) 421-0646 Map

Mailing address

203 N Main St, Suite 315
Roxboro, NC 27573-5343

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

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.

2 other providers at this address

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About NPI 1992025316

Mildred Blackwell's National Provider Identifier is 1992025316, issued on Jun 8, 2010. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Yanceyville, NC. The record was last updated on Jun 8, 2010.