Organization
A.W. HOLDINGS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JORDAN WARD (PARALEGAL)
(260) 207-5730
Entity
Organization
Contact information
Practice address
2556 MART AVE, VINELAND, NJ 08361-6725
(856) 457-8001
Mailing address
8515 BLUFFTON RD, FORT WAYNE, IN 46809-3022
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
465526
—
NJ
Enumeration date
10/11/2019
Last updated
10/11/2019
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