Living Resources Corportion
NPI #1356417869 in Granite Springs, New York
Provider Information
- NPI Number
- 1356417869
- Entity Type
- Organization
- Organization Name
- Living Resources Corportion
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Nov 27, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 186 MAHOPAC AVE
- City
- Granite Springs
- State
- New York
- ZIP Code
- 10527-0183
- Phone
- (914) 248-8101
Authorized Official
- Name
- FREDRICK WILLIAM ELRICH
- Title
- EXECUTIVE DIRECTOR
- Phone
- (518) 346-8888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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