| NPI | 1396890620 |
|---|---|
| Doing Business As | THE WATKINS HOME |
| Entity Type | Organization |
| Authorized Contact | YVONNE ANN WATKINS Administrator 623-535-5533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: AZ BH4267) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2013-06-12 |