Organization
GOODWILL INDUSTRIES OF SOUTHERN OHIO, INC.
Active
Organization
GOODWILL INDUSTRIES OF SOUTHERN OHIO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA MONTGOMERY (VOCATIONAL REHABILITATION MANAGER)
(740) 353-4394
Entity
Organization
Contact information
Practice address
324 CHILLICOTHE ST, PORTSMOUTH, OH 45662-4012
(740) 353-4394
(740) 353-5622
Mailing address
324 CHILLICOTHE ST, PORTSMOUTH, OH 45662-4012
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140817
—
OH
Enumeration date
01/30/2023
Last updated
01/30/2023
Update your record
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