Organization
GOODWILL INDUSTRIES OF RHODE ISLAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL C. BURGESS (FINANCE DIRECTOR)
(401) 861-2080
Entity
Organization
Contact information
Practice address
100 HOUGHTON STREET, PROVIDENCE, RI 02904-1013
(401) 861-2080
(401) 454-0889
Mailing address
100 HOUGHTON STREET, PROVIDENCE, RI 02904-1013
(401) 861-2080
(401) 454-0889
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GI32135
—
RI
Enumeration date
05/03/2007
Last updated
02/10/2017
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