Organization
THE LIVING WATER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARLANA N LAQUAGLIA (CARE PROVIDER)
(916) 722-4056
Entity
Organization
Contact information
Practice address
7504 CHIPMUNK WAY, CITRUS HEIGHTS, CA 95610
(916) 722-4056
(916) 722-4056
Mailing address
7504 CHIPMUNK WAY, CITRUS HEIGHTS, CA 95610
(916) 722-4056
(916) 722-4056
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
347003886
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5233058
KAISER PERMENANTE
CA
Enumeration date
07/19/2011
Last updated
07/19/2011
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