Organization
BAKER HALL INC
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
180 MARTIN ROAD, LACKAWANNA, NY 14218
(716) 828-9751
Mailing address
790 RIDGE ROAD, LACKAWANNA, NY 14218-1629
(716) 828-9450
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
RID2346VID00A09475
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00465834
—
NY
Enumeration date
05/25/2007
Last updated
10/21/2021
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