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LIVING RESOURCES CORPORATION

Intermediate Care Facility, Mentally Retarded

Rensselaer, New York

Provider NPI: 1174699441

Organization Information:
Organization Name:  LIVING RESOURCES CORPORATION


Practice Location:
19 JEFFERSON AVE  RENSSELAER, NY 12144 US
Tel: 518-479-3905  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded

Other Provider Identifiers:

IssuerNumberStateType
01073638NY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS NY - Page 1



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