Organization · Type 2 NPI
Living Waters Healthcare LLC
Addiction Medicine (Family Medicine) Physician · Hurricane, WV
NPI number
1447158522
Active
Practice location
4 Putnam Village Dr
Hurricane, WV 25526-1354
Fax (304) 760-0076
Mailing address
415 W Fir St, PO Box 224
Eleanor, WV 25070-1403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | None listed |
Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.
2 other providers at this address
About NPI 1447158522
Living Waters Healthcare LLC's National Provider Identifier is 1447158522, issued on Oct 28, 2026. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Hurricane, WV. The record was last updated on Oct 28, 2026.