Organization
LIVING WATERS GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY ANN EALY (RESIDENTIAL DIRECTOR)
(910) 717-6127
Entity
Organization
Contact information
Practice address
1609 SWEETGUM CIR, FAYETTEVILLE, NC 28304-2707
(910) 867-3279
Mailing address
8419 CARTMAN DR, FAYETTEVILLE, NC 28314-8419
(910) 487-2630
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
MHL 026-796
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6603850
—
NC
Enumeration date
02/06/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us