Healthcare Provider Details
I. General information
NPI: 1043336407
Provider Name (Legal Business Name): BAROCO CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/21/2007
Last Update Date: 06/04/2024
Certification Date: 06/04/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4 WESTVIEW RD
PITTSFIELD MA
01201-8021
US
IV. Provider business mailing address
17 NEW SOUTH ST
NORTHAMPTON MA
01060-4073
US
V. Phone/Fax
- Phone: 413-445-5905
- Fax: 413-445-2447
- Phone: 413-584-9978
- Fax: 413-585-9010
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QD1600X |
| Taxonomy | Developmental Disabilities Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251C00000X |
| Taxonomy | Developmentally 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