Livingwaters

LBN: Livingwaters
Livingwaters is an health care organization with primary practice located at 8383 Cliffdale Rd. , Fayetteville NC 28314-5853. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Livingwaters can be contacted via phone (910) 717-6127, or through Ealy, Preston Ray via phone (910) 717-6127.

Contact Information

Primary practice address
8383 Cliffdale Rd. Fayetteville NC 28314-5853
Phone: (910) 717-6127
Fax: (910) 717-6127
Website:
Map and Directions
Authorized official contact:
Name: Ealy, Preston Ray
Phone: (910) 717-6127

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X MHL 026-796 North Carolina

Profile Details

NPI number 1952441222
LBN Legal business name Livingwaters
DBA Doing business as
Authorized official Ealy, Preston Ray
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2007
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 1952441222 NPPES
North Carolina MEDICAID 3418072

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