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NPI Code Detail

MEDICARE: BROOKSHIRE INC

MEDICARE: BROOKSHIRE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing FacilityNH0545NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265430938
Entity Type Code : Organization
Provider Name (Legal Business Name) : BROOKSHIRE INC
Provider Business Mailing Address
First Line : PO BOX 1107
Second Line :
City : HILLSBOROUGH
State : NC
Zip : 27278-1107
Country : US
Telephone Number : 919-644-6714
Fax Number : 919-644-0812
Provider Business Practice Location Address
First Line : 300 MEADOWLAND DR
Second Line :
City : HILLSBOROUGH
State : NC
Zip : 27278-8502
Country : US
Telephone Number : 919-644-6714
Fax Number : 919-644-0812
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. BETTY BUTLER STEVENS
Credential : LNHA
Telephone Number : 919-644-6714
Provider Enumeration Date : 07/07/2005
Last Update Date : 10/26/2011

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Directions to “BROOKSHIRE INC ” Practice Location

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