Living Water Community Development Corporation, Inc

LBN: Living Water Community Development Corporation, Inc
Living Water Community Development Corporation, Inc is an health care organization with primary practice located at 3906 Hickory Grove Rd , Mount Holly NC 28120-9618. The organization recently has only one registered license in Agencies / Case Management, which is considered as the primary health care specialty. Living Water Community Development Corporation, Inc can be contacted via phone (704) 822-3004, or through Gooding, Andrea Lenor via phone (704) 822-3004.

Contact Information

Primary practice address
3906 Hickory Grove Rd Mount Holly NC 28120-9618
Phone: (704) 822-3004
Fax: (704) 827-6031
Website:
Map and Directions
Authorized official contact:
Name: Gooding, Andrea Lenor PHD
Phone: (704) 822-3004

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X North Carolina

Profile Details

NPI number 1881757938
LBN Legal business name Living Water Community Development Corporation, Inc
DBA Doing business as
Authorized official Gooding, Andrea Lenor PHD
Entity Organization
Organization subpart 1 No
Enumeration date Dec 19th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881757938 NPPES
North Carolina MEDICAID 8700401

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