# LIVING WATERS HEALTH SOLUTIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LIVING WATERS HEALTH SOLUTIONS LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619863156
- **Authorized official:** CATHERINE AGIONOMOISI UTSALO (CEO)
- **Authorized official phone:** (770) 895-8006

## Contact information

- **Practice address:** 1281 KAY TER SE, CONYERS, GA 30013-2939
- **Practice address phone:** (770) 895-8006
- **Mailing address:** 1281 KAY TER SE, CONYERS, GA 30013-2939
- **Mailing address phone:** (770) 895-8006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/12/2025
- **Last updated:** 07/26/2026