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

Waters' Provider Care Services, Inc

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1629118013

Waters' Provider Care Services, Inc is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in LA Grange, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

104 W James St
LA Grange, NC 28551-1727
Phone: (252) 566-3600
Show map & directions

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-054-124 (NC)

Record details

NPI number1629118013
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Waters — Secretary - Treasurer · (252) 566-3600
NPI enumeratedFebruary 7, 2007
Last updated in NPPESAugust 22, 2020
Mailing address104 W James St, La Grange, NC 28551-1727

Other providers in LA Grange