Provider Demographics
NPI:1235377300
Name:WATTS STAFFING SOLUTIONS
Entity Type:Organization
Organization Name:WATTS STAFFING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:D
Authorized Official - Last Name:WATTS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:410-764-2787
Mailing Address - Street 1:6999 REISTERSTOWN RD
Mailing Address - Street 2:SUITE 3
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-1430
Mailing Address - Country:US
Mailing Address - Phone:410-764-2787
Mailing Address - Fax:410-764-2789
Practice Address - Street 1:6999 REISTERSTOWN RD
Practice Address - Street 2:SUITE 3
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-1430
Practice Address - Country:US
Practice Address - Phone:410-764-2787
Practice Address - Fax:410-764-2789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-28
Last Update Date:2009-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2358253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD9805028-00Medicaid