Goodwill Industries Of St Clair County in Port Huron - Day Training, Developmentally Disabled Services
Goodwill Industries Of St Clair County - NPI 1861699480
Goodwill Industries Of St Clair County is a Day Training, Developmentally Disabled Services in Port Huron, Michigan. Goodwill Industries Of St Clair County practices all healthcare services and medical treatments related to Day Training, Developmentally Disabled Services. The NPI Number for Goodwill Industries Of St Clair County is 1861699480. The last update date is 2020-08-22.
Goodwill Industries Of St Clair County's current location address is 1013 26th St, Port Huron, Michigan. You can contact this provider via phone number 8109879333 and fax number 8109873121. The mailing address for Goodwill Industries Of St Clair County is 1013 26th St, Port Huron, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Goodwill Industries Of St Clair County |
|---|---|
| Address | 1013 26th St, Port Huron, Michigan |
| Phone Number | 8109879333 |
| Fax Number | 8109873121 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Papes Edward Philip |
| Telephone Number | 8109879333 |
NPI Number Detail
| NPI Number | 1861699480 |
|---|---|
| Provider Enumeration Date | 2007-06-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1013 26th St |
|---|---|
| City | Port Huron |
| State | Michigan (MI) |
| Post Code | 480604853 |
| Phone Number | 8109879333 |
| Fax Number | 8109873121 |
Provider's Primary Taxonomy Detail
| Speciality | Day Training, Developmentally Disabled Services |
|---|---|
| Taxonomy | 251C00000X |
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Definition: These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the |
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What is the unique 10-digit identifier code issued to Goodwill Industries Of St Clair County by the Centers for Medicare & Medicaid Services?
The Goodwill Industries Of St Clair County has been assigned the NPI (National Provider Identifier) 1861699480 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Goodwill Industries Of St Clair County is physically located?
The Goodwill Industries Of St Clair County is physically situated at the following address: 1013 26Th St, Port Huron, MI, 480604853.
What is Goodwill Industries Of St Clair County's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Goodwill Industries Of St Clair County is Day Training, Developmentally Disabled Services, and the taxonomy classification code that categorizes this area of expertise is 251C00000X.
When was the Goodwill Industries Of St Clair County's 1861699480 issued?
The Goodwill Industries Of St Clair County's 1861699480 was issued on 2007-06-28.
As of what date were the details related to Goodwill Industries Of St Clair County most recently updated or revised?
The information pertaining to Goodwill Industries Of St Clair County, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
NPI Number: 1316940851
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