Organization
GOODWILL INDUSTRIES OF NE IOWA INC
Active
Organization
GOODWILL INDUSTRIES OF NE IOWA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID E BOYD (PRESIDENT CEO)
(319) 234-4626
Entity
Organization
Contact information
Practice address
2640 FALLS AVE, WATERLOO, IA 50701-5722
(319) 234-4626
(319) 234-2504
Mailing address
2640 FALLS AVE, WATERLOO, IA 50701-5722
(319) 234-4626
(319) 234-2504
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0234286
—
IA
05
—
0741801
—
IA
Enumeration date
12/28/2006
Last updated
10/10/2007
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