# NINE PALMS 1 LP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NINE PALMS 1 LP
- **Other names:** Brookside Home Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1154580686
- **Legal business name:** NINE PALMS 1 LP
- **Authorized official:** WILLIAM BORNE (CEO)
- **Authorized official phone:** (225) 292-2031

## Contact information

- **Practice address:** 11815 ASPENGRAF LANE, SUITE B, NEW KENT, VA 23124-2129
- **Practice address phone:** (804) 966-5996
- **Practice address fax:** (804) 966-7260
- **Mailing address:** 5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
- **Mailing address phone:** (225) 292-2031
- **Mailing address fax:** (225) 295-9678

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/09/2008
- **Last updated:** 07/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1154580686 | — | VA |