National Provider Identifier
Ibero American Action Lueage, Inc.
Ibero American Action Lueage, Inc. is listed in the NPPES registry with a primary specialty of Case Management Agency in Rochester, NY and a listed phone number of (585) 256-8900.
Profile Overview
- NPI
- 1164061628
- Provider Type
- Organization
- Primary Specialty
- Case Management Agency
- Enumeration Date
- January 02, 2020
- Last Updated
- January 02, 2020
Practice Location
- 817 East Main Street
- Same
- Rochester, NY 14605-5144
Phone: (585) 256-8900
Specialties
- Case Management Agency (251B00000X)
- Developmentally Disabled Services Day Training Agency (251C00000X)
- Respite Care (385H00000X)
Full Record
- NPI
- 1164061628
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Ibero American Action Lueage, Inc.
- Mailing Street Address
- 817 East Main Street
- Mailing Address Line 2
- Same
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14605-5144
- Mailing Country
- US
- Mailing Phone
- (585) 256-8900
- Mailing Fax
- (585) 544-8608
- Practice Street Address
- 817 East Main Street
- Practice Address Line 2
- Same
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14605-5144
- Practice Country
- US
- Practice Phone
- (585) 256-8900
- Practice Fax
- (585) 544-8608
- Enumeration Date
- January 02, 2020
- Last Updated
- January 02, 2020
- Authorized Official Last Name
- Marin
- Authorized Official First Name
- Grisell
- Authorized Official Title
- Hcbs Director
- Authorized Official Phone
- (585) 256-8900
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- MS.
- Authorized Official Credential Text
- BS, CASAC- T
- Certification Date
- January 02, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Case Management Agency (251B00000X), Developmentally Disabled Services Day Training Agency (251C00000X), Respite Care (385H00000X)