Organization
NINE PALMS 1 LP
Active
Parent organization
NINE PALMS 1 LP
Other names
Brookside Home Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
NINE PALMS 1 LP
Authorized official
WILLIAM BORNE (CEO)
(225) 292-2031
Entity
Organization
Contact information
Practice address
11815 ASPENGRAF LANE, SUITE B, NEW KENT, VA 23124-2129
(804) 966-5996
(804) 966-7260
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 292-2031
(225) 295-9678
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154580686
—
VA
Enumeration date
06/09/2008
Last updated
07/13/2012
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