An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Developmental Disabilities |
261QD1600X | |||
Athletic Trainer |
2255A2300X | |||
Specialist/Technologist |
225500000X |
| NPI # | 1902349335 |
| LBN Legal business name | LIVING WATER HEALTH AND WELLNESS LLC |
| Authorized official | STEPHANIE THOMAS - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/03/2016 |
| Last updated | 01/15/2018 - About 8 years ago |
| Identifiers | n/a |
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