Organization
LIVINGSTON-WYOMING ARC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN LENNOX (ACCOUNTING MANAGER)
(585) 658-2828
Entity
Organization
Contact information
Practice address
18 MAIN ST, MOUNT MORRIS, NY 14510-1036
(585) 658-2828
Mailing address
18 MAIN ST, MOUNT MORRIS, NY 14510-1036
(585) 658-2828
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
347B00000X
Bus
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00923946
—
NY
05
—
1490688
—
NY
05
—
1779455
—
NY
05
—
2002326
—
NY
05
—
2043667
—
NY
05
—
2088315
—
NY
05
—
2149640
—
NY
05
—
2169193
—
NY
05
—
2267009
—
NY
05
—
2425203
—
NY
05
—
2513486
—
NY
05
—
2516301
—
NY
05
—
2603487
—
NY
05
—
2704754
—
NY
05
—
2749668
—
NY
Enumeration date
03/04/2008
Last updated
03/07/2008
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