Organization
STILL BLESSED, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM ALLEN WATERS QP (CLINICAL DIRECTOR)
(828) 524-3131
Entity
Organization
Contact information
Practice address
921 WINDY RIDGE RD, OTTO, NC 28763-9312
(828) 524-3131
(828) 524-7759
Mailing address
921 WINDY RIDGE RD, OTTO, NC 28763-9312
(828) 524-3131
(828) 524-7759
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NC
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3418221
—
NC
Enumeration date
11/06/2006
Last updated
06/08/2010
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