NPI | 1376671024 |
---|---|
Doing Business As | BLACKWELL'S REST HOME |
Entity Type | Organization |
Authorized Contact | DEBORAH MINOR Manager 336-421-9665 |
Organization Subpart ? | No |
Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-017-001) |
Enumeration Date | 2007-03-02 |
Last Update Date | 2020-08-22 |