Waters' Provider Care Services, Inc.

LBN: Waters' Provider Care Services, Inc.
Waters' Provider Care Services, Inc. is an health care organization with primary practice located at 104 W James St , La Grange NC 28551-1727. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Waters' Provider Care Services, Inc. can be contacted via phone (252) 566-3600, or through Waters, John Eric via phone (252) 566-3600.

Contact Information

Primary practice address
104 W James St La Grange NC 28551-1727
Phone: (252) 566-3600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Waters, John Eric
Phone: (252) 566-3600

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL-054-124 North Carolina

Profile Details

NPI number 1629118013
LBN Legal business name Waters' Provider Care Services, Inc.
DBA Doing business as
Authorized official Waters, John Eric
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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