Organization
SPOKANE LIVING WATER ADULT FAMILY HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRIY LISOVENKO RN (OWNER)
(509) 979-1041
Entity
Organization
Contact information
Practice address
1728 N STONE ST, SPOKANE, WA 99207-5253
(509) 979-1041
(509) 824-7178
Mailing address
1728 N STONE ST, SPOKANE, WA 99207-5253
(509) 979-1041
(509) 824-7178
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
10/18/2025
Last updated
10/18/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us