Living Waters Group Home #2
Living Waters Group Home #2 is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Parkton, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.
- Licensed in
- NC
- In the registry since
- 2008
Practice location Address checks out
1264 Davis Bridge RdParkton, NC 28371-9621
Phone: (910) 858-1403
Fax: (910) 339-1844
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence MHL-078-219 (NC) |
|---|
Record details
| NPI number | 1487890380 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Living Water Group Home #2 |
| Authorized official | Beverly Ealy — Director · (910) 717-6127 |
| NPI enumerated | December 23, 2008 |
| Last updated in NPPES | December 23, 2008 |
| Mailing address | 8419 Cartman Dr, Fayetteville, NC 28314-8419 |