| NPI | 1861510992 |
|---|---|
| Doing Business As | DOGWOOD FOREST - NICOLE |
| Entity Type | Organization |
| Authorized Contact | FIAGER M BLACKWELL Owner 336-694-7785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: NC HAL-001-005) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-08-22 |