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Organization
BROOKS HOME CARE LLC
Active
Organization
BROOKS HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE MASHA BROOKS (OWNER)
(336) 692-8365
Entity
Organization
Contact information
Practice address
8025 N POINT BLVD STE 282, WINSTON SALEM, NC 27106-3860
(336) 692-8365
Mailing address
8025 N POINT BLVD STE 282, WINSTON SALEM, NC 27106-3860
(336) 692-8365
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26777128
DA
NC
05
—
26777128
—
NC
Enumeration date
08/13/2024
Last updated
08/13/2024
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