Organization
LIVING RESOURCES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FREDRICK WILLIAM ERLICH (EXECUTIVE DIRECTOR)
(518) 346-8888
Entity
Organization
Contact information
Practice address
22 DOWLING RD, COLONIE, NY 12205-1910
(518) 489-8990
(518) 482-3949
Mailing address
22 DOWLING RD, COLONIE, NY 12205-1910
(518) 489-8990
(518) 482-3949
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01107822
—
NY
Enumeration date
11/28/2006
Last updated
08/22/2020
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