NPI 1013145614

Living Waters Group Home

Organisation Community/Behavioral Health Agency Fayetteville, NC

Practice location

Address: 8383 Cliffdale Rd, Fayetteville, NC 28314-5853
Phone: (910) 717-6127
Fax: (910) 339-1844

Authorised official

Name: Beverly Ann Ealy
Title: Director
Phone: (910) 717-6127

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in North Carolina →

Registry record

NPI: 1013145614
Entity type: Organization
NPI issued: 23 Jun 2009
Record last updated: 23 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.