# BROCKETT INVESTMENTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841957347
- **Authorized official:** MR. KURT BROCKETT (OWNER)
- **Authorized official phone:** (910) 323-2575

## Contact information

- **Practice address:** 334 MOORE ST, FAYETTEVILLE, NC 28301-4986
- **Practice address phone:** (910) 229-3869
- **Mailing address:** 338 MOORE ST, FAYETTEVILLE, NC 28301-4986
- **Mailing address phone:** (910) 323-2575
- **Mailing address fax:** (910) 491-3101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/19/2021
- **Last updated:** 11/19/2021
