| NPI | 1801329081 |
|---|---|
| Doing Business As | MAMIE WATTS |
| Entity Type | Organization |
| Authorized Contact | MAMIE EVELYN WATTS Owner 941-448-3127 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253Z00000X In Home Supportive Care |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |