Healthcare Provider Details

I. General information

NPI: 1427237734
Provider Name (Legal Business Name): LIVING RESOURCES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2007
Last Update Date: 02/22/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 ATLANTIC AVE SUITE 4
OCEAN VIEW DE
19970-9115
US

IV. Provider business mailing address

PO BOX 1554
REHOBOTH BEACH DE
19971-5554
US

V. Phone/Fax

Practice location:
  • Phone: 302-539-5986
  • Fax: 410-997-2805
Mailing address:
  • Phone: 302-539-5986
  • Fax: 410-997-2805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberQ1-0000729
License Number StateDE

VIII. Authorized Official

Name: DR. MICHAEL JOSEPH HURD
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 302-539-5986