Organization
LIVING RESOURCES CERTIFIED HOME HEALTH AGENCY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLENE S DORMAN (FINANCIAL OPERATIONS MANAGER)
(518) 218-0000
Entity
Organization
Contact information
Practice address
300 WASHINGTON AVENUE EXT, ALBANY, NY 12203-4403
(518) 867-8800
(518) 867-8711
Mailing address
300 WASHINGTON AVENUE EXT, ALBANY, NY 12203-4403
(518) 867-8800
(518) 867-8711
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
4601604
NY
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02068968
—
NY
01
—
100-28600
PRIVATE INSURANCE ID
NY
Enumeration date
10/10/2005
Last updated
02/14/2017
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