NPI | 1184775637 |
---|---|
Doing Business As | LIVING WATERS HOME CARE AGENCY |
Entity Type | Organization |
Authorized Contact | PHILLIP KWAKU DUAH Administrator 718-584-6900 |
Organization Subpart ? | No |
Primary Taxonomy | 251E00000X Home Health (Licence: NY 1285L001) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2020-08-22 |