Organization
A.W. HOLDINGS, LLC
Active
Other names
Benchmark Human Services
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY ANN BOBAY (DIRECTOR OF COMPLIANCE)
(260) 207-5604
Entity
Organization
Contact information
Practice address
617 AUBURN AVE STE 101, SWEDESBORO, NJ 08085-1620
(443) 426-2008
Mailing address
8515 BLUFFTON RD, FORT WAYNE, IN 46809-3022
(260) 207-5730
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
465526
—
NJ
Enumeration date
09/19/2019
Last updated
09/19/2019
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