Individual
MRS. BROOKE AMELIA JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 GREENWOOD AVE, ROCKY MOUNT, NC 27804-3739
(252) 200-4388
(252) 200-4388
Mailing address
100 BIRDIE CT, ROCKY MOUNT, NC 27804-8611
(252) 567-7821
(252) 200-4388
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
FCL-064-025
NC
Other
Enumeration date
11/10/2013
Last updated
11/12/2013
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