Organization
GOODWILL INDUSTRIES OF THE SPRINGFIELD/HARTFORD AREA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN MUNDAHL (PRESIDENT)
(413) 788-6984
Entity
Organization
Contact information
Practice address
475 SUMNER AVE, SPRINGFIELD, MA 01108-2321
(413) 788-6984
(413) 304-2682
Mailing address
475 SUMNER AVE, SPRINGFIELD, MA 01108-2321
(413) 788-6984
(413) 304-2682
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251J00000X
Nursing Care Agency
RN20578
MA
253J00000X
Foster Care Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
02/26/2009
Last updated
10/16/2009
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