Dogwood Forest Family Care Home Two

LBN: Tamela Blackwell
Dogwood Forest Family Care Home Two is an health care organization with primary practice located at 3592 Marshall Graves Rd , Yanceyville NC 27379-8630. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Tamela Blackwell can be contacted via phone (336) 421-8880, or through Blackwell, Tamela via phone (336) 421-8880.

Contact Information

Primary practice address
3592 Marshall Graves Rd Yanceyville NC 27379-8630
Phone: (336) 421-8880
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blackwell, Tamela
Phone: (336) 421-8880

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X FCL017006 North Carolina

Profile Details

NPI number 1689794323
LBN Legal business name Tamela Blackwell
DBA Doing business as Dogwood Forest Family Care Home Two
Authorized official Blackwell, Tamela
Entity Organization
Organization subpart 1 No
Enumeration date Mar 29th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689794323 NPPES
North Carolina MEDICAID 7803662

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