Organization
LIVING WATERS COMMUNITY MINISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAMILLE H LITT (ADMINISTRATOR)
(225) 205-4960
Entity
Organization
Contact information
Practice address
803 N 48TH ST, BATON ROUGE, LA 70802-1346
(225) 248-1054
(225) 216-7461
Mailing address
803 N 48TH ST, BATON ROUGE, LA 70802-1346
(225) 248-1054
(225) 216-7461
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
336
LA
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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