Organization · Type 2 NPI

Baker Hall Inc

Intellectual Disabilities Intermediate Care Facility · Lackawanna, NY

NPI number 1588875652 Active

Practice location

188 Martin Road
Lackawanna, NY 14218-2708

Call (716) 828-7485 Map

Fax (716) 827-8581

Mailing address

790 Ridge Road
Lackawanna, NY 14218-1629

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	76600441 (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 HallIntellectual Disabilities Intermediate Care Facility Lackawanna, NY NPI 1023229192

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NPI record

NPI: 1588875652
Entity type: Organization (Type 2)
Issued: May 24, 2007
Last updated: Oct 21, 2021
Status: Active

Other names

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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 1588875652

Baker Hall Inc's National Provider Identifier is 1588875652, 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 Oct 21, 2021.