| Organization Name: | THE NATHANIEL WATSON, JR. MEMORIAL FOUNDATION, INC |
| NPI Number: | 1003845967 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VALERIE WATSON-BAXTER (CEO) |
| Mailing Address: | 506 Calgary Glen Drive Sw Austell |
| State: | GA US |
| Postal Code: | 301687284 |
| Phone Number: | 7707709196 |
| Fax Number: | 7707320739 |
| NPI Enumeration Date: | 07/02/2006 |
| NPI Last Update Date: | 09/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3140N1450X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Nursing & Custodial Care Facilities |
| Taxonomy Classification: | Skilled Nursing Facility |
| Taxonomy Specialization: | Nursing Care, Pediatric |
| Taxonomy Definition: | A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment. |