73 North of Granville, Inc.
NPI #1710371539 in Granville, New York
Provider Information
- NPI Number
- 1710371539
- Entity Type
- Organization
- Organization Name
- 73 North of Granville, Inc.
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Mar 19, 2015
- Last Updated
- Mar 19, 2015
Practice Location
Authorized Official
- Name
- DEBRA HOLLISTER PAUQUETTE
- Title
- ADMINISTRATOR/ OWNER
- Phone
- (518) 642-3476
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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