Provider Demographics
NPI:1881991016
Name:AWT FAMILY LLC
Entity type:Organization
Organization Name:AWT FAMILY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:WAQAR
Authorized Official - Middle Name:
Authorized Official - Last Name:TAJUDDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-285-9966
Mailing Address - Street 1:31 HOLLY CIR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:MA
Mailing Address - Zip Code:02493-1421
Mailing Address - Country:US
Mailing Address - Phone:617-285-9966
Mailing Address - Fax:
Practice Address - Street 1:53 LINCOLN ST
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:MA
Practice Address - Zip Code:01562-1649
Practice Address - Country:US
Practice Address - Phone:508-885-3338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-24
Last Update Date:2011-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home