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Organization
LIVING WATER HEALTH AND WELLNESS LLC
Active
Organization
LIVING WATER HEALTH AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STEPHANIE THOMAS (CEO)
(202) 460-6876
Entity
Organization
Contact information
Practice address
2636 WADE RD SE APT 11, WASHINGTON, DC 20020-5906
(202) 460-6876
Mailing address
6300 GRENFELL CT, BOWIE, MD 20720-5331
(202) 460-6876
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
NULL
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
—
—
2255A2300X
Athletic Trainer
—
NULL
2255A2300X
Athletic Trainer
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/03/2016
Last updated
01/15/2018
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