Mildred Blackwell in Roxboro - Adult Care Home
Mildred Blackwell - NPI 1164542882
Mildred Blackwell is a Adult Care Home in Roxboro, North Carolina. Mildred Blackwell practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for Mildred Blackwell is 1164542882. The last update date is 2020-08-22.
Mildred Blackwell's current location address is 203 N Main St, Roxboro, North Carolina. You can contact this provider via phone number 3364210646. The mailing address for Mildred Blackwell is 203 N Main St, Roxboro, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mildred Blackwell |
|---|---|
| Address | 203 N Main St, Roxboro, North Carolina |
| Phone Number | 3364210646 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Blackwell Mildred |
| Telephone Number | 3364210646 |
NPI Number Detail
| NPI Number | 1164542882 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 203 N Main St |
|---|---|
| City | Roxboro |
| State | North Carolina (NC) |
| Post Code | 275735343 |
| Phone Number | 3364210646 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Care Home |
|---|---|
| Taxonomy | 311Za0620X |
| Licence No | HAL017003 |
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Definition: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like en |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7801723 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mildred Blackwell by the Centers for Medicare & Medicaid Services?
The Mildred Blackwell has been assigned the NPI (National Provider Identifier) 1164542882 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Mildred Blackwell's facilities are situated?
The facilities of Mildred Blackwell are physically located at the following address: 203 N Main St, Roxboro, NC, 275735343.
What is Mildred Blackwell's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mildred Blackwell is Adult Care Home, and the taxonomy code that classifies this field of practice is 311Za0620X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164542882 to Mildred Blackwell?
The Centers for Medicare & Medicaid Services originally issued the 1164542882 to Mildred Blackwell on 2007-03-29.
When was the information regarding Mildred Blackwell most recently updated?
The details pertaining to the Mildred Blackwell, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.