Organization
BAKER HALL INC
Active
Other names
Baker Victory Services, 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) 828-9315
Mailing address
790 RIDGE RD, LACKAWANNA, NY 14218-1629
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
00201974DCC
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111600
ERIE COUNTY
NY
Enumeration date
06/15/2009
Last updated
01/20/2022
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