Organization
AW HOLDINGS LLC
Active
Other names
Benchmark Human Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS S BEEBE (PRESIDENT OF RESIDENTIAL SERVICES)
(260) 744-6145
Entity
Organization
Contact information
Practice address
1940 S WEST BLVD, VINELAND, NJ 08360-7024
(856) 405-6997
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
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/16/2016
Last updated
07/17/2023
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