Organization · Type 2 NPI
A.w. Holdings, LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · St. Ann, MO
Practice location
3317 Cavan Dr
St. Ann, MO 63074-3419
Mailing address
8515 Bluffton Rd
Fort Wayne, IN 46809-3022
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1710129903
A.w. Holdings, LLC's National Provider Identifier is 1710129903, issued on Apr 2, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in St. Ann, MO. The record was last updated on Oct 15, 2012.