Organization
LIVING RESOURCES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FREDRICH WILLIAM ERLICH (EXECUTIVE DIRECTOR)
(518) 346-8888
Entity
Organization
Contact information
Practice address
19 JEFFERSON AVE, RENSSELAER, NY 12144-4611
(518) 479-3905
(518) 479-4581
Mailing address
2176 GUILDERLAND AVE, SCHENECTADY, NY 12306-4403
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01073638
—
NY
Enumeration date
11/28/2006
Last updated
08/22/2020
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