Healthcare Provider Details

I. General information

NPI: 1285774430
Provider Name (Legal Business Name): WATCH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 02/08/2023
Certification Date: 02/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

702 MAIN ST
MURRAY KY
42071-1943
US

IV. Provider business mailing address

702 MAIN ST
MURRAY KY
42071-1943
US

V. Phone/Fax

Practice location:
  • Phone: 270-759-1965
  • Fax: 270-761-1453
Mailing address:
  • Phone: 270-759-1965
  • Fax: 270-761-1453

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. PATRICE KLOBE
Title or Position: BOOKKEEPER
Credential:
Phone: 270-759-1965