NPI | 1972980514 |
---|---|
Doing Business As | LIVING WATER FAMILY SERVICES |
Entity Type | Organization |
Authorized Contact | LATONDRA CARLETTE FISHER Director 318-614-7644 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Enumeration Date | 2015-05-04 |
Last Update Date | 2015-05-04 |