Organization
OHIO VALLEY GOODWILL INDUSTRIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK HIEMSTRA (CHIEF OPERATING OFFICER)
(513) 771-4800
Entity
Organization
Contact information
Practice address
10600 SPRINGFIELD PIKE, CINCINNATI, OH 45215-1121
(513) 477-6015
Mailing address
10600 SPRINGFIELD PIKE, CINCINNATI, OH 45215-1121
(513) 771-4800
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
171WH0202X
Home Modifications Contractor
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2375988
—
OH
01
—
3102323
DODD CONTRACT NUMBER
OH
Enumeration date
10/05/2020
Last updated
10/05/2020
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