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Organization

BAKER HALL

Active
Other names
OLV Human Services
Organization subpart
No

Provider details

NPI number
Authorized official
LAUREL PARZYCH (CFO/COO)
(716) 828-9751
Entity
Organization

Contact information

Practice address
150 MARTIN ROAD, LACKAWANNA, NY 14218
(716) 828-9751
Mailing address
790 RIDGE RD, LACKAWANNA, NY 14218-1629

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
RID1514VID00A00113B
NY
313M00000X
Nursing Facility/Intermediate Care Facility
RID1515VID00A00114
NY
313M00000X
Nursing Facility/Intermediate Care Facility
RID2794VID00A97001
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00465834
NY
Enumeration date
05/24/2007
Last updated
04/15/2024
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