Provider Demographics
NPI:1457565632
Name:RESOURCE CENTER FRO ACCESSIBLE LIVING, INC.
Entity Type:Organization
Organization Name:RESOURCE CENTER FRO ACCESSIBLE LIVING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOGER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:845-331-0541
Mailing Address - Street 1:592 ULSTER AVE
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:NY
Mailing Address - Zip Code:12401-1924
Mailing Address - Country:US
Mailing Address - Phone:845-331-0541
Mailing Address - Fax:845-331-2076
Practice Address - Street 1:592 ULSTER AVE
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:NY
Practice Address - Zip Code:12401-1924
Practice Address - Country:US
Practice Address - Phone:845-331-0541
Practice Address - Fax:845-331-2076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management