Organization
GOOD WORKS FARM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY BERNOTAITIS (COO)
(937) 825-7470
Entity
Organization
Contact information
Practice address
1566 ROXANNA NEW BURLINGTON RD, WAYNESVILLE, OH 45068-9644
(937) 825-7470
Mailing address
1566 ROXANNA NEW BURLINGTON RD, WAYNESVILLE, OH 45068-9644
(937) 825-7470
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2904867
OHIO DEPARTMENT OF DEVELOPMENTAL DISABILITIES
OH
Enumeration date
11/25/2020
Last updated
01/03/2021
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