Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Living Waters Group Home

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1447390042

Living Waters Group Home is an Emotionally Disturbed Childrens' Residential Treatment Facility in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007

Practice location Address checks out

1609 Sweetgum Cir
Fayetteville, NC 28304-2707
Phone: (910) 867-3279
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence MHL 026-796 (NC)

Record details

NPI number1447390042
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Beverly Ealy — Residential Director · (910) 717-6127
NPI enumeratedFebruary 6, 2007
Last updated in NPPESAugust 22, 2020
Mailing address8419 Cartman Dr, Fayetteville, NC 28314-8419

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