Living Waters Group Home #2
NPI #1487890380 in Parkton, North Carolina
Provider Information
- NPI Number
- 1487890380
- Entity Type
- Organization
- Organization Name
- Living Waters Group Home #2
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LIVING WATER GROUP HOME #2
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Dec 23, 2008
- Last Updated
- Dec 23, 2008
Practice Location
- Address
- 1264 DAVIS BRIDGE RD
- City
- Parkton
- State
- North Carolina
- ZIP Code
- 28371-9621
- Phone
- (910) 858-1403
Authorized Official
- Name
- BEVERLY ANN EALY
- Title
- DIRECTOR
- Phone
- (910) 717-6127
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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