Organization
WATTS GUARDIAN CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MILDRED WALKER WATTS (PRESIDENT)
(904) 693-2276
Entity
Organization
Contact information
Practice address
7217 EUDINE DR N, JACKSONVILLE, FL 32210-2628
(904) 693-2276
Mailing address
7217 EUDINE DR N, JACKSONVILLE, FL 32210-2628
(904) 693-2276
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL10622
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142374600
—
FL
Enumeration date
02/10/2014
Last updated
02/10/2014
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