Organization
IBERO AMERICAN ACTION LEAGUE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELICA PEREZ-DELGADO CASAC (PRESIDENT & CEO)
(585) 256-8900
Entity
Organization
Contact information
Practice address
817 E MAIN ST, ROCHESTER, NY 14605-2722
(585) 256-8900
(585) 442-0683
Mailing address
817 E MAIN ST, ROCHESTER, NY 14605-2722
(585) 256-8900
(585) 442-0683
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161440297
—
NY
Enumeration date
02/03/2017
Last updated
02/11/2020
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