Provider Demographics
NPI:1841701216
Name:AWE4LIFE INC.
Entity type:Organization
Organization Name:AWE4LIFE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO,ADMIN.
Authorized Official - Prefix:MRS
Authorized Official - First Name:GERALDINE
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:CNA,CEO
Authorized Official - Phone:478-444-8565
Mailing Address - Street 1:1320 JOSEPH AVE
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31088-4503
Mailing Address - Country:US
Mailing Address - Phone:478-444-8565
Mailing Address - Fax:
Practice Address - Street 1:1320 JOSEPH AVE
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-4503
Practice Address - Country:US
Practice Address - Phone:478-444-8565
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-12
Last Update Date:2017-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty