Living Waters Prisoner Ministeries
Living Waters Prisoner Ministeries is an Exclusive Provider Organization in Mount Airy, North Carolina. Licensed in North Carolina. Registered with an NPI since 2010.
- Licensed in
- NC
- In the registry since
- 2010
- Specialties on file
- 2
Practice location Address checks out
355 Galloway StMount Airy, NC 27030
Phone: (336) 719-2019
Fax: (336) 719-2019
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X (NC) |
|---|---|
| Exclusive Provider Organization | Taxonomy 302F00000X |
Record details
| NPI number | 1235439159 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Living Waters Prisoner Ministries |
| Authorized official | Terry Speaks — Case Manager · (336) 710-2019 |
| Other names | Living Waters Outreach Program |
| NPI enumerated | October 26, 2010 |
| Last updated in NPPES | October 26, 2010 |
| Mailing address | 355 Galloway St, Mount Airy, NC 27030-3711 |