Organization
LIVINGSTON COUNTY
Active
Other names
Early Intervention
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER RODRIGUEZ (DIRECTOR)
(585) 243-7270
Entity
Organization
Contact information
Practice address
2 MURRAY HILL DR, MOUNT MORRIS, NY 14510-1122
(585) 243-7270
(585) 243-7287
Mailing address
2 MURRAY HILL DR, MOUNT MORRIS, NY 14510-1122
(585) 243-7270
(585) 243-7287
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030001847
—
NY
Enumeration date
07/13/2006
Last updated
11/15/2018
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