Organization
GOODWILL INDUSTRIES OF CENTRAL IOWA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY HUNTER (CEO)
(515) 265-5323
Entity
Organization
Contact information
Practice address
5355 NW 86TH ST, JOHNSTON, IA 50131-2781
(515) 265-5323
(515) 265-0645
Mailing address
5355 NW 86TH ST, JOHNSTON, IA 50131-2781
(515) 265-5323
(515) 265-0645
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113423
—
IA
Enumeration date
01/18/2007
Last updated
05/05/2021
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