| Organization Name: | LIVING WATERS HOSPICE, LLC |
| NPI Number: | 1487710984 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MEG VIETS (CEO) |
| Mailing Address: | 28350 County Road 317 Suite 1 Buena Vista |
| State: | CO US |
| Postal Code: | 81211 |
| Phone Number: | 7193953124 |
| Fax Number: | 7193953128 |
| NPI Enumeration Date: | 12/29/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |