Organization
LIVING WATERS HOME CARE LLC DBA SERVICES UNLIMITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN W JOINES (DIRECTOR)
(336) 372-5150
Entity
Organization
Contact information
Practice address
170 MEMORIAL PARK DR, SPARTA, NC 28675-9703
(336) 372-5150
(336) 372-1838
Mailing address
170 MEMORIAL PARK DR, PO BOX 446, SPARTA, NC 28675-9703
(336) 372-5150
(336) 372-1838
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
372500000X
Chore Provider
HC1588
NC
372600000X
Adult Companion
HC1588
NC
373H00000X
Day Training/Habilitation Specialist
HC1588
NC
3747A0650X
Attendant Care Provider
HC1588
NC
3747P1801X
Personal Care Attendant
HC1588
NC
376J00000X
Homemaker
HC1588
NC
376K00000X
Nurse's Aide
Primary
HC1588
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409072
—
NC
05
—
6600622
—
NC
Enumeration date
02/02/2007
Last updated
08/20/2014
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