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THE WATKINS HOME

Assisted Living, Mental Illness

Goodyear, Arizona

Provider NPI: 1396890620

Organization Information:
Organization Name:  THE WATKINS HOME


Practice Location:
15372 W ROANOKE AVE  GOODYEAR, AZ 85395 US
Tel: 623-535-5533  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y302F00000XManaged Care Organizations
Exclusive Provider Organization
AZBH4267

Other Provider Identifiers:

IssuerNumberStateType
941147AZ05
OBHL LICENSEBH2622AZ01
OFFICE OF BEHAVIORAL HEALTH LICENSE NUMBERBH3584AZ01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTAL ILLNESS JOBS AZ - Page 1



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