Provider Demographics
NPI:1831653047
Name:WATKINS BUSINESS ESSENTIALS LLC
Entity Type:Organization
Organization Name:WATKINS BUSINESS ESSENTIALS LLC
Other - Org Name:AGAPE LIVING ALH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:CHERIE
Authorized Official - Last Name:WATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-301-9879
Mailing Address - Street 1:5613 ALORA LOOP
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99504-1051
Mailing Address - Country:US
Mailing Address - Phone:907-301-9879
Mailing Address - Fax:
Practice Address - Street 1:5613 ALORA LOOP
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99504-1051
Practice Address - Country:US
Practice Address - Phone:907-301-9879
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-22
Last Update Date:2019-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility