Organization
BAKER HALL INC
Active
Other names
OLV Human Services
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREL PARZYCH (CEO/COO)
(716) 828-9751
Entity
Organization
Contact information
Practice address
790 RIDGE RD, LACKAWANNA, NY 14218-1629
(716) 828-9699
Mailing address
790 RIDGE ROAD, LACKAWANNA, NY 14218-1629
(716) 828-9751
(716) 828-9450
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
76000440
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00860417
—
NY
Enumeration date
05/23/2007
Last updated
10/21/2021
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