Blackwell House Inc.

NPI 1083919518 - Community Based Residential Treatment Facility, Mental Illness - 320800000X

NPI Details
NPI 1083919518
Enumeration Date 01/13/2011
Last Updated 01/13/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name LATONYA FAYE LATONYA
Position QUALIFIED PROFESSIONAL/ DIRECTOR
Phone (336) 375-3121
Fax
Practice Location
2805 N OHENRY BLVD
GREENSBORO NC, 27405-4631, US
Phone (336) 375-3121
Fax
Business Location
2805 N OHENRY BLVD
GREENSBORO NC, 27405-4631, US
Phone (336) 375-3121
Fax
Toxanomy
Taxonomy Code 320800000X
License State North Carolina
License Number 041-997
Remove 1083919518 NPI Number
 

According to our database, Blackwell House Inc. NPI is 1083919518, taxonomy code is 320800000X and license number is 041-997, license state is located at North Carolina. Blackwell House Inc. physically located at 2805 N Ohenry Blvd, Greensboro NC, 27405-4631. NPI Number 1033115704 has the healthcare provider type.

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1083919518 NPI number is provided on an as is basis without warranty of any kind. 1083919518 is maintained by the National Plan & Provider Enumeration System. The contents of Blackwell House Inc. are for informational purposes only.