Organization
AW HOLDINGS LLC
Active
Other names
Benchmark Human Services
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY ANN BOBAY (CHIEF COMPLIANCE OFFICER)
(260) 207-5604
Entity
Organization
Contact information
Practice address
390 AMWELL RD, BLDG 1 STE 104, HILLSBOROUGH, NJ 08844
(908) 829-3553
(908) 829-3557
Mailing address
8515 BLUFFTON RD, FORT WAYNE, IN 46809-3022
(260) 744-6145
(260) 444-0006
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0465526
—
NJ
Enumeration date
06/16/2016
Last updated
05/30/2018
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