Organization
GOODWILL INDUSTRIES OF THE COASTAL EMPIRE, INC.
Active
Other names
ADVANCE Acquired Brain Injury Rehabilitation Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARDWELL B. WAY (VICE PRESIDENT, FINANCE)
(912) 354-6611
Entity
Organization
Contact information
Practice address
7220 SALLIE MOOD DR, SAVANNAH, GA 31406-3921
(912) 354-6611
(912) 354-3787
Mailing address
PO BOX 15007, SAVANNAH, GA 31416-1707
(912) 354-6611
(912) 354-3787
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
12/30/2011
Last updated
01/02/2012
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