Organization · Type 2 NPI

Baker Hall

Intellectual Disabilities Intermediate Care Facility · Lackawanna, NY

NPI number 1023229192 Active

Practice location

170 Martin Road
Lackawanna, NY 14218-2708

Call (716) 828-7470 Map

Fax (716) 827-8581

Mailing address

790 Ridge Rd
Lackawanna, NY 14218-1629

Other practice locations

790 Ridge Rd, Lackawanna, NY 14218-1629 · (716) 828-9500

Specialties and licenses

Taxonomy	Code	License
Intellectual Disabilities Intermediate Care Facility Primary	315P00000X	None listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	320900000X	7600442 (NY)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

Other intellectual disabilities intermediate care facility providers in Lackawanna

Baker Hall IncIntellectual Disabilities Intermediate Care Facility Lackawanna, NY NPI 1588875652

See all in Lackawanna →

NPI record

NPI: 1023229192
Entity type: Organization (Type 2)
Issued: May 24, 2007
Last updated: Apr 15, 2024
Status: Active

Other names

<unavail>
Baker Victory Services · doing business as
Baker Victory Services · doing business as
Olv Human Services · doing business as

Authorized official

Laurel Parzych
CFO/coo
(716) 828-9751

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023229192

Baker Hall's National Provider Identifier is 1023229192, issued on May 24, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Lackawanna, NY. The record was last updated on Apr 15, 2024.