Organization
BAKER VICTORY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY DANIEL ALMETER (COMPTROLLER)
(716) 828-9751
Entity
Organization
Contact information
Practice address
150 MARTIN ROAD, LACKAWANNA, NY 14218
(716) 828-9751
Mailing address
780 RIDGE ROAD, LACKAWANNA, NY 14218
(716) 828-9751
(716) 828-9450
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
RID1514VID00A00113B
NY
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
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
08/22/2020
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