Individual provider · Type 1 NPI
John Thomas Watson Jr.
Adult Care Home Facility · Baltimore, MD
NPI number
1255246146
Active
Practice location
2616 Erdman Ave
Baltimore, MD 21213-1126
Fax (410) 439-9604
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | AL-00969 (MD) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Other adult care home facility providers in Baltimore
About NPI 1255246146
John Thomas Watson Jr.'s National Provider Identifier is 1255246146, issued on Aug 17, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Baltimore, MD. The record was last updated on Aug 17, 2026.