Provider Demographics
NPI:1295455988
Name:BAKER SENIOR CENTER NAPLES INC
Entity type:Organization
Organization Name:BAKER SENIOR CENTER NAPLES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JACLYNN
Authorized Official - Middle Name:I
Authorized Official - Last Name:FAFFER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-325-4444
Mailing Address - Street 1:6200 AUTUMN OAKS LN
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-8633
Mailing Address - Country:US
Mailing Address - Phone:239-325-4444
Mailing Address - Fax:239-330-7947
Practice Address - Street 1:6200 AUTUMN OAKS LN
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34119-8633
Practice Address - Country:US
Practice Address - Phone:239-325-4444
Practice Address - Fax:239-330-7947
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-01
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty