# GODWIN INCORPORATIVE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** GODWIN INCORPORATIVE SUPPORTED LIVING SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851129829
- **Authorized official:** DR. IKPONMWOSA CHRISTOPHER OGBEIDE (ADVISER)
- **Authorized official phone:** (707) 704-1521

## Contact information

- **Practice address:** 5865 61ST ST, SACRAMENTO, CA 95824-3122
- **Practice address phone:** (707) 704-1521
- **Mailing address:** 5865 61ST ST, SACRAMENTO, CA 95824-3122
- **Mailing address phone:** (707) 704-1521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 07/22/2024
- **Last updated:** 07/23/2024