Provider Demographics
NPI:1467098491
Name:AWA GROUP OF COMPANIES INC
Entity Type:Organization
Organization Name:AWA GROUP OF COMPANIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:AWA
Authorized Official - Last Name:SSENYONGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-534-1490
Mailing Address - Street 1:13 KENMAR DR
Mailing Address - Street 2:
Mailing Address - City:BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01821-6700
Mailing Address - Country:US
Mailing Address - Phone:781-534-1490
Mailing Address - Fax:
Practice Address - Street 1:13 KENMAR DR
Practice Address - Street 2:
Practice Address - City:BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01821-6700
Practice Address - Country:US
Practice Address - Phone:781-534-1490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NONE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-25
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health