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Organization

LIVING WATER'S HOME CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA COLLINS JOINES (OWNER/DIRECTOR)
(336) 200-3335
Entity
Organization

Contact information

Practice address
623 HENDRIX RD, SPARTA, NC 28675-9241
(336) 372-5978
(336) 372-1838
Mailing address
623 HENDRIX RD, SPARTA, NC 28675-9241
(336) 372-5978
(336) 372-1838

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3349
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6601479
NC
Enumeration date
11/03/2006
Last updated
01/02/2008
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