NPI 1386990430

Living Waters Community Ministry

Organisation Preferred Provider Organization Baton Rouge, LA

Practice location

Address: 803 N 48th St, Baton Rouge, LA 70802-1346
Phone: (225) 248-1054
Fax: (225) 216-7461

Authorised official

Name: Camille H Litt
Title: Administrator
Phone: (225) 205-4960

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 336 (LA)

Other Preferred Provider Organization providers in Louisiana →

Registry record

NPI: 1386990430
Entity type: Organization
NPI issued: 26 Jul 2012
Record last updated: 26 Jul 2012

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.