Organization
LIVING HOPE HEALING WATERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KIMBRO STEPHENS J.D. (VICE PRESIDENT)
(903) 791-8388
Entity
Organization
Contact information
Practice address
1000 PINE ST, TEXARKANA, TX 75501-5100
(903) 791-8388
(903) 791-8385
Mailing address
1111 HAZEL ST, TEXARKANA, TX 75501-5229
(903) 791-8388
(903) 791-8385
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
07/10/2006
Last updated
08/22/2020
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