| Eno Investments Llc | |
|
1421 Broad St Durham NC 27705-3534 | |
| (919) 306-2263 | |
| Not Available |
| Full Name | Eno Investments Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1421 Broad St, Durham, North Carolina |
| Authorized Official Name and Position | Timothy Huston Brooks (OWNER) |
| Authorized Official Contact | 9193062263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eno Investments Llc 4030 Forrestdale Dr Durham NC 27712-2914 Ph: (919) 306-2263 | Eno Investments Llc 1421 Broad St Durham NC 27705-3534 Ph: (919) 306-2263 |
| NPI Number | 1164285516 |
|---|---|
| Provider Enumeration Date | 01/30/2024 |
| Last Update Date | 01/30/2024 |
| Certification Date | 01/30/2024 |
| Medicare PECOS PAC ID | 3375981749 |
|---|---|
| Medicare Enrollment ID | O20240403004293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164285516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Timothy H Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710036439 PECOS PAC ID: 5698964997 Enrollment ID: I20110120000687 |
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