Organization
GOODWILL INDUSTRIES OF CENTRAL IA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARLYN MCKEEN (PRESIDENT)
(515) 265-5323
Entity
Organization
Contact information
Practice address
4900 NE 22ND ST, DES MOINES, IA 50313-2518
(515) 265-5323
Mailing address
4900 NE 22ND ST, DES MOINES, IA 50313-2518
(515) 265-5323
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0231118
—
IA
Enumeration date
03/19/2007
Last updated
08/22/2020
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