Organization
LIVING RESOURCES CORPORTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDRICK WILLIAM ELRICH (EXECUTIVE DIRECTOR)
(518) 346-8888
Entity
Organization
Contact information
Practice address
186 MAHOPAC AVE, GRANITE SPRINGS, NY 10527-0183
(914) 248-8101
(914) 248-5606
Mailing address
2176 GUILDERLAND AVE, SCHENECTADY, NY 12306-4403
(518) 346-8888
(518) 346-7725
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01116361
—
NY
Enumeration date
11/27/2006
Last updated
08/22/2020
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