| Organization Name: | LIVING WATERS HOSPICE LLC |
| NPI Number: | 1922366947 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RANDY DENHAM (VICE PRESIDENT) |
| Mailing Address: | 3711 Us Highway 68 Golden Valley |
| State: | AZ US |
| Postal Code: | 864137522 |
| Phone Number: | 9285659000 |
| Fax Number: | 9285659001 |
| NPI Enumeration Date: | 04/27/2012 |
| NPI Last Update Date: | 03/26/2013 |
| 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: | |