Organization
GOODWILL EASTER SEALS MIAMI VALLEY
Active
Other names
Goodwill Industries of Dayton, Inc., Goodwill Easter Seals Miami Valley
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRAIG TUSCHONG (VICE PRESIDENT, CFO)
(937) 461-4800
Entity
Organization
Contact information
Practice address
660 S MAIN ST, DAYTON, OH 45402
(937) 461-4800
(937) 461-9578
Mailing address
660 S MAIN ST, DAYTON, OH 45402-2708
(937) 461-4800
(937) 461-9578
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
156FX1800X
Optician
S.12248
OH
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
01-0550
OH
332H00000X
Eyewear Supplier
S.12248
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154547883
—
OH
05
—
2284504
—
OH
05
—
2913646
—
OH
Enumeration date
04/18/2007
Last updated
02/25/2025
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