Provider Demographics
NPI:1427237734
Name:LIVING RESOURCES INC.
Entity type:Organization
Organization Name:LIVING RESOURCES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HURD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:302-539-5986
Mailing Address - Street 1:PO BOX 1554
Mailing Address - Street 2:
Mailing Address - City:REHOBOTH BEACH
Mailing Address - State:DE
Mailing Address - Zip Code:19971-5554
Mailing Address - Country:US
Mailing Address - Phone:302-539-5986
Mailing Address - Fax:410-997-2805
Practice Address - Street 1:17 ATLANTIC AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:OCEAN VIEW
Practice Address - State:DE
Practice Address - Zip Code:19970-9115
Practice Address - Country:US
Practice Address - Phone:302-539-5986
Practice Address - Fax:410-997-2805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-02
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00007291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEG02078Medicare PIN