Mildred Blackwell
NPI #1164542882 in Elon, North Carolina
Provider Information
- NPI Number
- 1164542882
- Entity Type
- Organization
- Organization Name
- Mildred Blackwell
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Mar 29, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3658 CHERRY GROVE RD
- City
- Elon
- State
- North Carolina
- ZIP Code
- 27244-9483
- Phone
- (336) 421-0646
Authorized Official
- Name
- MS. MILDRED BLACKWELL
- Title
- OWNER
- Phone
- (336) 421-0646
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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