Organization
BROCKETT INVESTMENTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KURT BROCKETT (OWNER)
(910) 323-2575
Entity
Organization
Contact information
Practice address
334 MOORE ST, FAYETTEVILLE, NC 28301-4986
(910) 229-3869
Mailing address
338 MOORE ST, FAYETTEVILLE, NC 28301-4986
(910) 323-2575
(910) 491-3101
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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