Provider Demographics
NPI:1871172460
Name:AHWC DEVELOPMENT INC.
Entity type:Organization
Organization Name:AHWC DEVELOPMENT INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JACALYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:906-225-1377
Mailing Address - Street 1:623 W WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:MARQUETTE
Mailing Address - State:MI
Mailing Address - Zip Code:49855-4135
Mailing Address - Country:US
Mailing Address - Phone:906-225-1377
Mailing Address - Fax:906-226-3901
Practice Address - Street 1:623 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:MARQUETTE
Practice Address - State:MI
Practice Address - Zip Code:49855-4135
Practice Address - Country:US
Practice Address - Phone:906-225-1377
Practice Address - Fax:906-226-3901
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AHWC DEVELOPMENT INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-02
Last Update Date:2021-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies