Organization
GODWIN INCORPORATIVE SERVICES
Active
Other names
GODWIN INCORPORATIVE SUPPORTED LIVING SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IKPONMWOSA CHRISTOPHER OGBEIDE (ADVISER)
(707) 704-1521
Entity
Organization
Contact information
Practice address
5865 61ST ST, SACRAMENTO, CA 95824-3122
(707) 704-1521
Mailing address
5865 61ST ST, SACRAMENTO, CA 95824-3122
(707) 704-1521
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
Other
Enumeration date
07/22/2024
Last updated
07/23/2024
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