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Organization

CATHEDRAL OF LIVING WATERS INC. DBA LIVING WATERS TRANSPORT

Active
Parent organization
CATHEDRAL OF LIVING WATERS INC.
Other names
Living Waters Transport
Organization subpart
Yes

Provider details

NPI number
Legal business name
CATHEDRAL OF LIVING WATERS INC.
Authorized official
TAYANA ALISHA THOMPSON REV, LPN. PHD (REV.)
(917) 830-5239
Entity
Organization

Contact information

Practice address
254 CLINTON AVE APT 2, JERSEY CITY, NJ 07304-1608
(917) 830-2539
Mailing address
254 CLINTON AVE APT 2, JERSEY CITY, NJ 07304-1608
(917) 830-2539

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
347C00000X
Private Vehicle

Other

Enumeration date
12/10/2025
Last updated
12/10/2025
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