Organization
HEALTHKEEPERZ
Active
Other names
COVENANT HOSPICE
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY BEACHER BROOKS (PRESIDENT)
(910) 522-0001
Entity
Organization
Contact information
Practice address
509 WEST THIRD ST., PEMBROKE, NC 28372
(910) 522-0001
(910) 521-3411
Mailing address
241-B SINGLETON RIDGE RD., CONWAY, SC 29526
(843) 347-5661
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HPC-100
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HSP071
—
SC
Enumeration date
12/28/2007
Last updated
12/28/2007
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