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
3240 1ST AVE, SPEARFISH, SD 57783-3209
(605) 644-7370
Mailing address
8515 BLUFFTON RD, FORT WAYNE, IN 46809-3022
(260) 744-6145
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2012051
—
SD
Enumeration date
01/18/2019
Last updated
02/21/2019
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