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Organization

LIVING RESOURCES HOME CARE AGENCY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FREDRICK W ERLICH (CEO)
(518) 218-0000
Entity
Organization

Contact information

Practice address
300 WASHINGTON AVENUE EXT, ALBANY, NY 12203-7303
(518) 218-0000
(518) 867-8704
Mailing address
300 WASHINGTON AVENUE EXT, ALBANY, NY 12203-7303
(518) 218-0000
(518) 867-8704

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
0743L002
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02172856
NY
Enumeration date
10/13/2005
Last updated
02/13/2013
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