Organization
GOODWILL INDUSTRIES NA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN HOFFMAN (DIRECTOR OF HR)
(928) 526-9188
Entity
Organization
Contact information
Practice address
2670 HIGHWAY 95, BULLHEAD CITY, AZ 86442-7744
(928) 704-7780
Mailing address
2225 N STEVES BLVD, FLAGSTAFF, AZ 86001
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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