Healthcare Provider Details

I. General information

NPI: 1457261745
Provider Name (Legal Business Name): OAK GROVE FAMILY CARE HOME TWO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7288 NC 211 HWY W
BLADENBORO NC
28320-6998
US

IV. Provider business mailing address

7288 NC 211 HWY W
BLADENBORO NC
28320-6998
US

V. Phone/Fax

Practice location:
  • Phone: 910-876-2127
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: PAMELA WARD
Title or Position: OWNER
Credential:
Phone: 910-876-2127