Provider Demographics
NPI:1275195117
Name:WATERMARK HEALTH SERVICES
Entity Type:Organization
Organization Name:WATERMARK HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BABAJIDE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEDIPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-652-3823
Mailing Address - Street 1:1045 TAYLOR AVENUE SUITE 106E
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286
Mailing Address - Country:US
Mailing Address - Phone:443-652-2823
Mailing Address - Fax:
Practice Address - Street 1:1045 TAYLOR AVENUE SUITE 106E
Practice Address - Street 2:SUITE 106E
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286
Practice Address - Country:US
Practice Address - Phone:443-652-3823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-01
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty