Organization · Type 2 NPI
Living Waters Group Home #2
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Parkton, NC
Practice location
1264 Davis Bridge Rd
Parkton, NC 28371-9621
Fax (910) 339-1844
Mailing address
8419 Cartman Dr
Fayetteville, NC 28314-8419
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | MHL-078-219 (NC) |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1487890380
Living Waters Group Home #2's National Provider Identifier is 1487890380, issued on Dec 23, 2008. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Parkton, NC. The record was last updated on Dec 23, 2008.