| NPI | 1700034428 |
|---|---|
| Doing Business As | LIVING WATERS RESIDENTIAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | ADE OLUSOJI BANKOLE Administrator 410-878-6741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MD R2585) |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2008-09-05 |