Provider Demographics
NPI:1407993801
Name:HOLBROOK SISTERS, INC
Entity Type:Organization
Organization Name:HOLBROOK SISTERS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRPERSON
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:MANGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-356-5556
Mailing Address - Street 1:9206 E 44TH ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64133-1414
Mailing Address - Country:US
Mailing Address - Phone:816-356-5556
Mailing Address - Fax:
Practice Address - Street 1:9206 E 44TH ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64133-1414
Practice Address - Country:US
Practice Address - Phone:816-356-5556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities