| NPI | 1710371539 |
|---|---|
| Doing Business As | HOLBROOK ADULT HOME |
| Entity Type | Organization |
| Authorized Contact | DEBRA HOLLISTER PAUQUETTE Administrator/ Owner 518-642-3476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home (Licence: NY 760-F-014) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |