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Contact Information

LIVING WATER HEALTH AND WELLNESS LLC
2636 WADE RD SE APT 11
WASHINGTON, DC20020-5906
 Phone: 202-460-6876
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Disabilities

261QD1600X
 

Athletic Trainer

2255A2300X
 

Specialist/Technologist

225500000X
Indicates primary specialty

NPI Profile & details for LIVING WATER HEALTH AND WELLNESS LLC

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
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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