| Goodwill Industries Of Ne Iowa Inc | |
|
2640 Falls Ave Waterloo IA 50701-5722 | |
| (319) 234-4626 | |
| (319) 234-2504 |
| Full Name | Goodwill Industries Of Ne Iowa Inc |
|---|---|
| Speciality | Hospice Care, Community Based |
| Location | 2640 Falls Ave, Waterloo, Iowa |
| Authorized Official Name and Position | David E Boyd (PRESIDENT CEO) |
| Authorized Official Contact | 3192344626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Goodwill Industries Of Ne Iowa Inc 2640 Falls Ave Waterloo IA 50701-5722 Ph: (319) 234-4626 | Goodwill Industries Of Ne Iowa Inc 2640 Falls Ave Waterloo IA 50701-5722 Ph: (319) 234-4626 |
| NPI Number | 1760548440 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 10/10/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760548440 | NPI | - | NPPES |
| 0234286 | Medicaid | IA | |
| 0741801 | Medicaid | IA |
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