# WATKINS ADULT FAMILY CARE HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124312160
- **Authorized official:** MRS. MARILYN LOUISE WATKINS LIC. (OWNER/CAREGIVER)
- **Authorized official phone:** (863) 533-5852

## Contact information

- **Practice address:** 620 BAKER AVE, BARTOW, FL 33830-3505
- **Practice address phone:** (863) 533-5852
- **Practice address fax:** (863) 533-5852
- **Mailing address:** 620 BAKER AVE, BARTOW, FL 33830-3505
- **Mailing address phone:** (863) 533-5852
- **Mailing address fax:** (863) 533-5852

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 6905707 | FL | Yes |

## Other

- **Enumeration date:** 06/07/2011
- **Last updated:** 06/07/2011