Organization
PROFESSIONAL PROVIDERS HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL G BROOKS (PRESIDENT)
(910) 276-3350
Entity
Organization
Contact information
Practice address
700 PROGRESS PL # B, LAURINBURG, NC 28352-5545
(910) 276-3350
(910) 276-4450
Mailing address
700 PROGRESS PL # B, LAURINBURG, NC 28352-5545
(910) 276-3350
(910) 276-4450
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC1320
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6600383
—
NC
Enumeration date
02/26/2007
Last updated
08/22/2020
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