Organization
GOODWILL INDUSTRIES OF MICHIANA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J LARRY NEFF (PRESIDENT & CEO)
(574) 472-7300
Entity
Organization
Contact information
Practice address
1805 W WESTERN AVE, SOUTH BEND, IN 46619-3519
(574) 472-7300
(574) 472-7302
Mailing address
1805 W WESTERN AVE, PO BOX 3846, SOUTH BEND, IN 46619-3519
(574) 472-7300
(574) 472-7302
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/04/2007
Last updated
08/22/2020
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