Robert Lee Brooks, cna
Home Health Aide in Lithonia, GA. Individual provider (NPI-1).
NPI number1093073124
StatusActive
Last updated in NPPESApr 26, 2012
Details
- NPI
- 1093073124
- Entity type
- Individual (NPI-1)
- Name
- Mr. Robert Lee Brooks
- Credential
- cna
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 26, 2012
- Last updated
- Apr 26, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | cn0030005255 | GA | Yes |
Practice location
6018 Wellborn TrailLithonia, GA 30058
Phone 404-821-6121
Mailing address
6018 Wellborn TrailLithonia, GA 30058
Phone 404-821-6121
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