Organization
LIVING WATER COMMUNITY DEVELOPMENT CORPORATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA LENOR GOODING PHD (CEO)
(704) 822-3004
Entity
Organization
Contact information
Practice address
3906 HICKORY GROVE RD, MOUNT HOLLY, NC 28120-9618
(704) 822-3004
(704) 827-6031
Mailing address
PO BOX 267, MOUNT HOLLY, NC 28120-0267
(704) 822-3004
(704) 827-6031
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8700401
—
NC
Enumeration date
12/19/2006
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