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Organization
GODWIN INCORPORATIVE SERVICES
Active
Organization
GODWIN INCORPORATIVE SERVICES
Active
Other names
GODWIN INCORPORATIVE SUPPORTED LIVING SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IKPONMWOSA CHRISTOPHER OGBEIDE (ADVISER)
(707) 704-1521
Entity
Organization
Contact information
Practice address
5865 61ST ST, SACRAMENTO, CA 95824-3122
(707) 704-1521
Mailing address
5865 61ST ST, SACRAMENTO, CA 95824-3122
(707) 704-1521
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251E00000X
Home Health Agency
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
261QD1600X
Developmental Disabilities Clinic/Center
—
NULL
Other
Enumeration date
07/22/2024
Last updated
07/23/2024
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