Provider Demographics
NPI:1992367981
Name:LIVINGSTON COUNTY OFFICE FOR THE AGING
Entity Type:Organization
Organization Name:LIVINGSTON COUNTY OFFICE FOR THE AGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-243-7520
Mailing Address - Street 1:3 MURRAY HILL DRIVE
Mailing Address - Street 2:
Mailing Address - City:MT. MORRIS
Mailing Address - State:NY
Mailing Address - Zip Code:14510
Mailing Address - Country:US
Mailing Address - Phone:585-243-7520
Mailing Address - Fax:585-243-7516
Practice Address - Street 1:3 MURRAY HILL DRIVE
Practice Address - Street 2:
Practice Address - City:MT. MORRIS
Practice Address - State:NY
Practice Address - Zip Code:14510
Practice Address - Country:US
Practice Address - Phone:585-243-7520
Practice Address - Fax:585-243-7516
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIVINGSTON COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-01
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals