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Organization
LIVING WATERS VENTURES, INC
Active
Organization
LIVING WATERS VENTURES, INC
Active
Other names
Living Waters Residential Services
Organization subpart
No
Provider details
NPI number
Authorized official
ADE OLUSOJI BANKOLE (ADMINISTRATOR)
(410) 878-6741
Entity
Organization
Contact information
Practice address
1008 LESLIE AVE, CATONSVILLE, MD 21228-2912
(410) 878-6741
Mailing address
1008 LESLIE AVE, CATONSVILLE, MD 21228-2912
(410) 878-6741
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R2585
MD
Other
Enumeration date
09/05/2008
Last updated
09/05/2008
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