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Organization

A.W. 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
628 CANHOUSE RD, PITTSGROVE, NJ 08318-4213
(856) 457-8001
Mailing address
8515 BLUFFTON RD, FORT WAYNE, IN 46809-3022
(260) 744-6145

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary

Other

Enumeration date
04/24/2020
Last updated
04/24/2020
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