A.W. Holdings, LLC

Organization Active NPI Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Vineland, NJ

NPI 1467094433 · NPPES record last updated Oct 11, 2019

Key facts

NPI
1467094433
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Legal business name
A.W. HOLDINGS, LLC
Practice address
2556 Mart Ave
Vineland, NJ 08361-6725
Phone
(856) 457-8001
NPI assigned
Oct 11, 2019
Organization subpart
No

Authorized official

Name
Mr. Jordan Ward
Title
Paralegal
Phone
(260) 207-5730

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Aw Holdings LLC (53 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Yes

Addresses

Primary practice location

2556 Mart Ave
Vineland, NJ 08361-6725

Mailing address

8515 Bluffton Rd
Fort Wayne, IN 46809-3022

Other identifiers

IdentifierTypeStateIssuer
465526MedicaidNJ

Other providers in Vineland, NJ

All providers in Vineland, NJ · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Jersey

Sources for this page

Verify at the official NPI Registry.