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
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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