Organization
IBERO AMERICAN ACTION LUEAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GRISELL MARIN BS, CASAC- T (HCBS DIRECTOR)
(585) 256-8900
Entity
Organization
Contact information
Practice address
817 EAST MAIN STREET, SAME, ROCHESTER, NY 14605-5144
(585) 256-8900
(585) 544-8608
Mailing address
817 EAST MAIN STREET, SAME, ROCHESTER, NY 14605-5144
(585) 256-8900
(585) 544-8608
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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