Organization
GOODWILL EASTER SEALS MIAMI VALLEY
Active
Other names
Goodwill Industries
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRAIG TUSCHONG (CFO)
(937) 461-4800
Entity
Organization
Contact information
Practice address
660 S MAIN ST, DAYTON, OH 45402-2708
(937) 461-4800
(937) 461-9578
Mailing address
660 S MAIN ST, DAYTON, OH 45402-2708
(937) 461-4800
(937) 461-9578
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2284504
—
OH
Enumeration date
03/17/2010
Last updated
03/13/2023
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