Organization
HEALTHKEEPERZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY BEACHER BROOKS (PRESIDENT)
(910) 522-0001
Entity
Organization
Contact information
Practice address
1830 OWEN DR., FAYETTEVILLE, NC 28304-3412
(910) 522-0001
Mailing address
PO BOX 1030, PEMBROKE, NC 28372-1030
(910) 522-0001
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
HC0359
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3401541
—
NC
Enumeration date
01/14/2008
Last updated
01/14/2008
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