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General NPI Number Information
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NPI Number | 1942389507
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Entity Type | Organization
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Legal Business Name | LIVING WATER'S HOME CARE, LLC
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 01/02/2008
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Provider Practice Location Address
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Address Line | 623 HENDRIX RD
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City | SPARTA
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State | NC
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Zip | 28675-9241
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Country | US
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Telephone | 336-372-5978
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Fax | 336-372-1838
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Provider Business Mailing Address
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Address Line | 623 HENDRIX RD
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City | SPARTA
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State | NC
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Zip | 28675-9241
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Country | US
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Telephone | 336-372-5978
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Fax | 336-372-1838
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | LINDA COLLINS JOINES
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Credential |
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Telephone | 336-200-3335
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HC3349
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License Number State | NC
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