Organization
BROOKSFAMILYCAREHOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHINNETTA BROOKS (ADMINSTRATOR)
(704) 480-9202
Entity
Organization
Contact information
Practice address
117 FOXHILL DR, KINGSTOWN, NC 28150-9065
(704) 480-9202
Mailing address
117 FOXHILL DR, KINGSTOWN, NC 28150-9065
(704) 480-9202
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
FCL-023-024
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7802114
PROVIDER
NC
Enumeration date
03/12/2007
Last updated
08/22/2020
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