| NPI | 1164542882 |
|---|---|
| Doing Business As | DOGWOOD FOREST NO. TWO |
| Entity Type | Organization |
| Authorized Contact | MILDRED BLACKWELL Owner 336-421-0646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NC HAL017003) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |