Organization
LIVING WATERS GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY ANN EALY (DIRECTOR)
(910) 717-6127
Entity
Organization
Contact information
Practice address
8383 CLIFFDALE RD, FAYETTEVILLE, NC 28314-5853
(910) 717-6127
(910) 339-1844
Mailing address
8383 CLIFFDALE RD, FAYETTEVILLE, NC 28314-5853
(910) 717-6127
(910) 339-1844
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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