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Organization

WATKINS ADULT FAMILY CARE HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARILYN LOUISE WATKINS LIC. (OWNER/CAREGIVER)
(863) 533-5852
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6905707
FL

Other

Enumeration date
06/07/2011
Last updated
06/07/2011
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