Organization
AWAKE LABS US CORP
Active
Other names
Awake Labs
Organization subpart
No
Provider details
NPI number
Authorized official
CARA MELVIN LISW (SR. DIRECTOR OF PARTNER RELATIONS)
(651) 468-4795
Entity
Organization
Contact information
Practice address
600 N BROAD STREET, SUITE 5, #847, MIDDLETOWN, DE 19709
(651) 353-4404
Mailing address
8 THE GRN STE 12893, DOVER, DE 19901-3618
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
11/10/2022
Last updated
12/23/2022
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