Waters' Provider Care Services, Inc.
NPI #1629118013 in La Grange, North Carolina
Provider Information
- NPI Number
- 1629118013
- Entity Type
- Organization
- Organization Name
- Waters' Provider Care Services, Inc.
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Feb 7, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 104 W JAMES ST
- City
- La Grange
- State
- North Carolina
- ZIP Code
- 28551-1727
- Phone
- (252) 566-3600
Authorized Official
- Name
- JOHN ERIC WATERS
- Title
- SECRETARY - TREASURER
- Phone
- (252) 566-3600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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