NPI 1396890620

The Watkins Home

Organisation Exclusive Provider Organization Goodyear, AZ

Practice location

Address: 15372 W Roanoke Ave, Goodyear, AZ 85395-8980
Phone: (623) 535-5533
Fax: (623) 535-6666

Authorised official

Name: Yvonne Ann Watkins
Title: Administrator
Phone: (623) 535-5533

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence BH4267 (AZ)

Other Exclusive Provider Organization providers in Arizona →

Registry record

NPI: 1396890620
Entity type: Organization
NPI issued: 25 Jan 2007
Record last updated: 12 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.