Organization
GOODWILL INDUSTRIES -COTTONWOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN HOFFMAN (DIRECTOR)
(928) 526-9188
Entity
Organization
Contact information
Practice address
1500 E MINGUS AVE, COTTONWOOD, AZ 86326-3849
(928) 526-9188
Mailing address
PO BOX 2278, FLAGSTAFF, AZ 86003-2278
(928) 526-9188
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
09/22/2011
Last updated
09/22/2011
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