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Living Waters Group Home #2
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Parkton, North Carolina
NPI 1487890380

Living Waters Group Home #2 is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Fayetteville, NC. Living Waters Group Home #2 practices in Parkton, NC. The NPI Number for Living Waters Group Home #2 is 1487890380 and holds a License No. MHL-078-219 (North Carolina).

The current practice location address for Living Waters Group Home #2 is 1264 Davis Bridge Rd, Parkton, NC and can be reached out via phone at 910-858-1403 and via fax at 910-339-1844.

Location: 1264 Davis Bridge Rd, Parkton, NC, 28314-8419
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1487890380
Provider Name
Living Waters Group Home #2
Credential
Provider Entity Type
Organization
Address
1264 Davis Bridge Rd, Parkton, NC, 28314-8419
Phone Number
910-858-1403
Fax Number
910-339-1844
Provider Enumeration Date
12/23/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6603850 05 NC
institution
Provider Business Practice Location Address Details
Address
1264 Davis Bridge Rd
City
Parkton
State
North Carolina
Zip
28371-9621
Phone Number
910-858-1403
Fax Number
910-339-1844
person
Provider Business Mailing Address Details
Address
1264 Davis Bridge Rd
City
Parkton
State
North Carolina
Zip
28371-9621
Phone Number
910-858-1403
Fax Number
910-339-1844
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
MHL-078-219 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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