# GOODWILL INDUSTRIES OF TULSA INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861568859
- **Authorized official:** MR. DAVID E OLIVER (PRESIDENT)
- **Authorized official phone:** (918) 584-7291

## Contact information

- **Practice address:** 2800 SOUTHWEST BLVD, TULSA, OK 74107-3817
- **Practice address phone:** (918) 584-7291
- **Mailing address:** PO BOX 9811, TULSA, OK 74157-0811
- **Mailing address phone:** (918) 584-7291
- **Mailing address fax:** (918) 583-9010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/28/2006
- **Last updated:** 05/23/2008