Organization
HOLBROOK SENIOR CITIZENS ASSOCIATION
Active
Other names
Holbrook Senior Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA ANN GABALDON (DIRECTOR)
(928) 524-6044
Entity
Organization
Contact information
Practice address
216 JOY NEVIN AVE, HOLBROOK, AZ 86025-2924
(928) 524-6044
(928) 524-3603
Mailing address
PO BOX 580, HOLBROOK, AZ 86025-0580
(928) 524-6044
(928) 524-3603
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111261
AHCCCS
AZ
Enumeration date
02/21/2007
Last updated
08/22/2020
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