Organization
LIVING WATER FOR LIFE MEDICAL MINISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN FARMER (NP)
(602) 598-0903
Entity
Organization
Contact information
Practice address
11435 W BUCKEYE RD STE 104-271, AVONDALE, AZ 85323-6812
(602) 598-0903
Mailing address
11435 W BUCKEYE RD STE 104-271, AVONDALE, AZ 85323-6812
(602) 598-0903
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/08/2021
Last updated
05/18/2021
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