| NPI | 1083983928 |
|---|---|
| Other Name | MILDRED''S FAMILY CARE,INC |
| Entity Type | Organization |
| Authorized Contact | CARL LAVALLE BLACKWELL President 336-421-0646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility (Licence: NC FCL-017-006) |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2023-11-17 |