Living Waters Outreach Program

LBN: Living Waters Prisoner Ministeries
Living Waters Outreach Program is an health care organization with primary practice located at 355 Galloway St , Mount Airy NC 27030. The organization recently has 2 registered licenses in different health care specialties including Managed Care Organizations / Exclusive Provider Organization, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty. Living Waters Prisoner Ministeries can be contacted via phone (336) 719-2019, or through Speaks, Terry Christopher via phone (336) 710-2019.

Contact Information

Primary practice address
355 Galloway St Mount Airy NC 27030
Phone: (336) 719-2019
Fax: (336) 719-2019
Website:
Map and Directions
Authorized official contact:
Name: Speaks, Terry Christopher CHRISTIAN COUNSILOR
Phone: (336) 710-2019

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X North Carolina

Profile Details

NPI number 1235439159
LBN Legal business name Living Waters Prisoner Ministeries
DBA Doing business as Living Waters Outreach Program
Authorized official Speaks, Terry Christopher CHRISTIAN COUNSILOR
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 26th, 2010
Last updated Oct 26th, 2010 - about 14 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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