Nine Palms 1 LP
Home Health in New Kent, VA. Organization (NPI-2).
NPI number1154580686
StatusActive
Last updated in NPPESJul 13, 2012
Details
- NPI
- 1154580686
- Entity type
- Organization (NPI-2)
- Legal business name
- Nine Palms 1 LP
- Organization subpart
- Yes
- Enumeration date
- Jun 9, 2008
- Last updated
- Jul 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | – | – | Yes |
Other names
- Brookside Home Health (Doing Business As)
Practice location
11815 Aspengraf LaneSuite B
New Kent, VA 23124-2129
Phone 804-966-5996 · Fax 804-966-7260
Mailing address
5959 S Sherwood Forest BlvdBaton Rouge, LA 70816-6038
Phone 225-292-2031 · Fax 225-295-9678
Authorized official
William Borne
Ceo
2252922031
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