Healthcare Provider Details

I. General information

NPI: 1972874345
Provider Name (Legal Business Name): WATKINS FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2012
Last Update Date: 08/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2686 N COLUMBUS ST SUITE 100
LANCASTER OH
43130-8404
US

IV. Provider business mailing address

2686 N COLUMBUS ST SUITE 100
LANCASTER OH
43130-8404
US

V. Phone/Fax

Practice location:
  • Phone: 740-652-9141
  • Fax:
Mailing address:
  • Phone: 740-652-9141
  • Fax:

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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. CAROLYN BEST
Title or Position: PRESIDENT/CEO
Credential: RN
Phone: 740-652-9141