Provider Demographics
NPI:1972874345
Name:WATKINS FOUNDATION
Entity Type:Organization
Organization Name:WATKINS FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BEST
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:740-652-9141
Mailing Address - Street 1:2686 N COLUMBUS ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-8404
Mailing Address - Country:US
Mailing Address - Phone:740-652-9141
Mailing Address - Fax:
Practice Address - Street 1:2686 N COLUMBUS ST
Practice Address - Street 2:SUITE 100
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-8404
Practice Address - Country:US
Practice Address - Phone:740-652-9141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-18
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3115739Medicaid