Organization
GOODWILL HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER C ONUOHA (ADMINISTRATOR)
(908) 531-8036
Entity
Organization
Contact information
Practice address
18 N 7TH ST, STROUDSBURG, PA 18360-2110
(570) 664-2211
Mailing address
216 PIN OAK RD, STROUDSBURG, PA 18360-8330
(908) 531-8036
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
32113601
PA
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103354757
—
PA
Enumeration date
12/29/2016
Last updated
10/12/2020
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