Organization Name: | LIVING WATERS HOSPICE, INC. |
NPI Number: | 1992001549 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAWANNA L BEST (CEO) |
Mailing Address: | 301 Hwy 24 N Buena Vista |
State: | CO US |
Postal Code: | 812115007 |
Phone Number: | 7193953124 |
Fax Number: | 7193953128 |
NPI Enumeration Date: | 01/31/2011 |
NPI Last Update Date: | 01/31/2011 |
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: |