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Waters' Provider Care Services, Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility in La Grange, North Carolina
NPI 1629118013

Waters' Provider Care Services, Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in La Grange, NC. Waters' Provider Care Services, Inc. practices in La Grange, NC. The NPI Number for Waters' Provider Care Services, Inc. is 1629118013 and holds a License No. MHL-054-124 (North Carolina).

The current practice location address for Waters' Provider Care Services, Inc. is 104 W James St, La Grange, NC and can be reached out via phone at 252-566-3600.

Location: 104 W James St, La Grange, NC, 28551-1727
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629118013
Provider Name
Waters' Provider Care Services, Inc.
Credential
Provider Entity Type
Organization
Address
104 W James St, La Grange, NC, 28551-1727
Phone Number
252-566-3600
Fax Number
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
104 W James St
City
La Grange
State
North Carolina
Zip
28551-1727
Phone Number
252-566-3600
Fax Number
person
Provider Business Mailing Address Details
Address
104 W James St
City
La Grange
State
North Carolina
Zip
28551-1727
Phone Number
252-566-3600
Fax Number
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-054-124 (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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