Provider Demographics
NPI:1649388836
Name:WATKINS HOME MEDICAL, LLC
Entity Type:Organization
Organization Name:WATKINS HOME MEDICAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSALIE
Authorized Official - Middle Name:W
Authorized Official - Last Name:WATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-227-2226
Mailing Address - Street 1:11416 DOSWELL RD
Mailing Address - Street 2:
Mailing Address - City:DOSWELL
Mailing Address - State:VA
Mailing Address - Zip Code:23047-1722
Mailing Address - Country:US
Mailing Address - Phone:804-227-2226
Mailing Address - Fax:
Practice Address - Street 1:11416 DOSWELL RD
Practice Address - Street 2:
Practice Address - City:DOSWELL
Practice Address - State:VA
Practice Address - Zip Code:23047-1722
Practice Address - Country:US
Practice Address - Phone:804-227-2226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies