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Organization

LIVING WORD LUTHERAN CHURCH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SAMUEL WATTERS (CONGREGATION PASTOR)
(734) 664-4489
Entity
Organization

Contact information

Practice address
46500 N TERRITORIAL RD, PLYMOUTH, MI 48170-3066
(734) 207-9673
Mailing address
46500 N TERRITORIAL RD, PLYMOUTH, MI 48170-3066
(734) 207-9673

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
08/26/2020
Last updated
08/26/2020
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