| Living Waters Group Home | |
|
8383 Cliffdale Rd Fayetteville NC 28314-5853 | |
| (910) 717-6127 | |
| (910) 339-1844 |
| Full Name | Living Waters Group Home |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8383 Cliffdale Rd, Fayetteville, North Carolina |
| Authorized Official Name and Position | Beverly Ann Ealy (DIRECTOR) |
| Authorized Official Contact | 9107176127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Waters Group Home 8383 Cliffdale Rd Fayetteville NC 28314-5853 Ph: (910) 717-6127 | Living Waters Group Home 8383 Cliffdale Rd Fayetteville NC 28314-5853 Ph: (910) 717-6127 |
| NPI Number | 1013145614 |
|---|---|
| Provider Enumeration Date | 06/23/2009 |
| Last Update Date | 06/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013145614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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