Healthcare Provider Details

I. General information

NPI: 1689707812
Provider Name (Legal Business Name): BAROCO CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 06/04/2024
Certification Date: 06/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 S BRIDGE DR SUITE 11
AGAWAM MA
01001-2000
US

IV. Provider business mailing address

17 NEW SOUTH ST
NORTHAMPTON MA
01060-4073
US

V. Phone/Fax

Practice location:
  • Phone: 413-789-3963
  • Fax: 413-789-2389
Mailing address:
  • Phone: 413-531-4775
  • Fax: 413-585-9010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. RICK BARNARD
Title or Position: PRESIDENT
Credential: MPA
Phone: 413-531-4775