| NPI | 1992025316 |
|---|---|
| Doing Business As | DOGWOOD FOREST FAMILY CARE TWO |
| Entity Type | Organization |
| Authorized Contact | MILDRED BLACKWELL Owner 336-421-0646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2010-06-08 |