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Organization
73 NORTH OF GRANVILLE, INC.
Active
Organization
73 NORTH OF GRANVILLE, INC.
Active
Other names
Holbrook Adult Home
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA HOLLISTER PAUQUETTE (ADMINISTRATOR/ OWNER)
(518) 642-3476
Entity
Organization
Contact information
Practice address
73 NORTH ST, GRANVILLE, NY 12832-1136
(518) 642-3476
(518) 642-3801
Mailing address
73 NORTH ST, GRANVILLE, NY 12832-1136
(518) 642-3476
(518) 642-3801
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
760-F-014
NY
Other
Enumeration date
03/19/2015
Last updated
03/19/2015
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