Goodwill Industries Of The Southern Piedmont Inc

NPI 1053528687 - Day Training, Developmentally Disabled Services - 251C00000X

NPI Details
NPI 1053528687
Enumeration Date 05/16/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MICHAEL J MICHAEL
Position CHIEF EXECUTIVE OFFICIER
Phone (704) 372-3434
Fax (704) 972-9841
Practice Location
2122 FREEDOM DR
CHARLOTTE NC, 28208-5154, US
Phone (704) 372-3434
Fax (704) 972-9841
Business Location
PO BOX 668768
CHARLOTTE NC, 28266-8768, US
Phone (704) 372-3434
Fax (704) 972-9841
Toxanomy
Taxonomy Code 251C00000X
License State North Carolina
License Number MHL 060 016
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According to our database, Goodwill Industries Of The Southern Piedmont Inc NPI is 1053528687, taxonomy code is 251C00000X and license number is MHL 060 016, license state is located at North Carolina. Goodwill Industries Of The Southern Piedmont Inc physically located at 2122 Freedom Dr, Charlotte NC, 28208-5154. NPI Number 1033115704 has the healthcare provider type.

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1053528687 NPI number is provided on an as is basis without warranty of any kind. 1053528687 is maintained by the National Plan & Provider Enumeration System. The contents of Goodwill Industries Of The Southern Piedmont Inc are for informational purposes only.