Waters' Provider Care Services, Inc. is a health care provider in La Grange, NC. In this page you will find its mailing address, practice location, phone number, specialty etc.
|Practice Location||104 W James St, La Grange, NC 28551-1727, US|
|Practice Location Phone||252-566-3600|
|Practice Location Fax|
|Legal Business Name||WATERS' PROVIDER CARE SERVICES, INC.|
|Enumeration Date ?||Feb 7, 2007|
|Last Update Date ?||Jul 8, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities||Residential Treatment Facilities||MHL-054-124||North Carolina|
An authorized official is an appointed official with the legal authority to make changes and/or updates to the Waters' Provider Care Services, Inc.'s status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).
|Authorized Official||John Eric Waters|
|Authorized Official Title/Position||SECRETARY - TREASURER|
|Authorized Official Phone Number||252-566-3600|