Living Waters Community Ministry
Living Waters Community Ministry is a Preferred Provider Organization in Baton Rouge, Louisiana. Licensed in Louisiana. Registered with an NPI since 2012.
- Licensed in
- LA
- In the registry since
- 2012
Practice location Address checks out
803 N 48th StBaton Rouge, LA 70802-1346
Phone: (225) 248-1054
Fax: (225) 216-7461
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 336 (LA) |
|---|
Record details
| NPI number | 1386990430 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Camille Litt — Administrator · (225) 205-4960 |
| NPI enumerated | July 26, 2012 |
| Last updated in NPPES | July 26, 2012 |
| Mailing address | 803 N 48th St, Baton Rouge, LA 70802-1346 |
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