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Organization

GOODWILL INDUSTRIES OF THE VALLEYS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRUCE PHIPPS (CEO)
(540) 581-0620
Entity
Organization

Contact information

Practice address
1106 GREENVILLE AVE STE C, STAUNTON, VA 24401-5075
(540) 581-0620
(540) 581-0628
Mailing address
2502 MELROSE AVE NW, ROANOKE, VA 24017-3910
(540) 581-0620
(540) 581-0628

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
240
VA

Other

Enumeration date
10/02/2014
Last updated
10/02/2014
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