# LIVING WATERS VENTURES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Living Waters Residential Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700034428
- **Authorized official:** ADE OLUSOJI BANKOLE (ADMINISTRATOR)
- **Authorized official phone:** (410) 878-6741

## Contact information

- **Practice address:** 1008 LESLIE AVE, CATONSVILLE, MD 21228-2912
- **Practice address phone:** (410) 878-6741
- **Mailing address:** 1008 LESLIE AVE, CATONSVILLE, MD 21228-2912
- **Mailing address phone:** (410) 878-6741

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | R2585 | MD | Yes |

## Other

- **Enumeration date:** 09/05/2008
- **Last updated:** 09/05/2008