Organization Name: | WATKINS PERSONAL CARE HOMES, INC. |
NPI Number: | 1104041367 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MALCOLM ROLLAND WATKINS (OWNER OPERATOR) |
Mailing Address: | 1939 Isaac Watkins Rd Montrose |
State: | GA US |
Postal Code: | 310653307 |
Phone Number: | 4786763437 |
Fax Number: | 4788253062 |
NPI Enumeration Date: | 04/14/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | GA |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |