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Waters' Provider Care Services, Inc.

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.

physician-icon Basic Information

Practice Location 104 W James St, La Grange, NC 28551-1727, US
Practice Location Phone252-566-3600
Practice Location Fax
Legal Business NameWATERS' PROVIDER CARE SERVICES, INC.
NPI ?1629118013
Entity TypeOrganization
Enumeration Date ? Feb 7, 2007
Last Update Date ? Jul 8, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Waters' Provider Care Services, Inc.

SpecialtySpecializationLicenseLicense State
Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities MHL-054-124North Carolina

official-icon Authorized Official of Waters' Provider Care Services, Inc.

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/PositionSECRETARY - TREASURER
Authorized Official Phone Number252-566-3600