Organization
GOODWILL INDUSTRIES OF SOUTH CENTRAL OHIO
Active
Organization
GOODWILL INDUSTRIES OF SOUTH CENTRAL OHIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARVIN E JONES (CEO)
(740) 702-4000
Entity
Organization
Contact information
Practice address
2541 WESTERN AVENUE, CHILLICOTHE, OH 45601
(740) 702-4000
(740) 702-4001
Mailing address
PO BOX 93, CHILLICOTHE, OH 45601-0093
(740) 702-4000
(614) 517-1267
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
715055
OH
347B00000X
Bus
715055
OH
347C00000X
Private Vehicle
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100603
—
OH
01
—
715055
OHIO MEDICAL TRANSPORTATION BOARD
OH
Enumeration date
11/30/2012
Last updated
09/24/2020
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