Organization
OHIO VALLEY GOODWILL INDUSTRIES, INC.
Active
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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