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Baker Hall — NPI 1023229192, Lackawanna, NY | NPI Central

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OrganizationActive

Baker Hall

NPI 1023229192 · Intellectual Disabilities Intermediate Care Facility · Lackawanna, NY

Provider details

NPI number: 1023229192
Entity type: Organization
Primary specialty: Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Laurel Parzych, Cfo/Coo(716) 828-9751
License: 7600442 (NY)

Specialties & taxonomies

Intellectual Disabilities Intermediate Care FacilityPrimary315P00000X
Nursing & Custodial Care Facilities
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000XLicense 7600442 (NY)
Residential Treatment Facilities

Practice location

170 Martin Road

Lackawanna, NY 14218-2708

Phone: (716) 828-7470

Fax: (716) 827-8581

Approximate (ZIP-level) locationGet directions

More NY providers

Mailing address

790 Ridge Rd

Lackawanna, NY 14218-1629

Other names (DBA / former)

Doing business as: Baker Victory Services
Doing business as: Baker Victory Services
Doing business as: Olv Human Services

Additional practice locations (1)

790 Ridge Rd
Lackawanna, NY 14218-1629
Phone: (716) 828-9500

Registry dates

Enumerated: 2007-05-24
Last updated: 2024-04-15
Certified: 2024-04-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.