Healthcare Provider Details

I. General information

NPI: 1962435545
Provider Name (Legal Business Name): LIVINGSTON COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 11/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 MURRAY HILL DR
MOUNT MORRIS NY
14510-1122
US

IV. Provider business mailing address

2 MURRAY HILL DR
MOUNT MORRIS NY
14510-1122
US

V. Phone/Fax

Practice location:
  • Phone: 585-243-7270
  • Fax: 585-243-7287
Mailing address:
  • Phone: 585-243-7270
  • Fax: 585-243-7287

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER RODRIGUEZ
Title or Position: DIRECTOR
Credential:
Phone: 585-243-7270