| Blackwell's Community Living Llc | |
|
509 Fernway Dr Burlington NC 27217-8850 | |
| (336) 270-4463 | |
| (336) 897-7564 |
| Full Name | Blackwell's Community Living Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 509 Fernway Dr, Burlington, North Carolina |
| Authorized Official Name and Position | Robin Newby Blackwell (DIRECTOR) |
| Authorized Official Contact | 3363171926 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackwell's Community Living Llc 509 Fernway Dr Burlington NC 27217-8850 Ph: (336) 270-4463 | Blackwell's Community Living Llc 509 Fernway Dr Burlington NC 27217-8850 Ph: (336) 270-4463 |
| NPI Number | 1598068900 |
|---|---|
| Provider Enumeration Date | 12/08/2010 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598068900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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