Goodwill Easter Seals Miami Valley | |
660 S Main St Dayton OH 45402 | |
(937) 461-4800 | |
Not Available |
Full Name | Goodwill Easter Seals Miami Valley |
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Speciality | Community/behavioral Health |
Location | 660 S Main St, Dayton, Ohio |
Authorized Official Name and Position | Graig Tuschong (VICE PRESIDENT, CFO) |
Authorized Official Contact | 9374614800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Goodwill Easter Seals Miami Valley 660 S Main St Dayton OH 45402-2708 Ph: (937) 461-4800 | Goodwill Easter Seals Miami Valley 660 S Main St Dayton OH 45402 Ph: (937) 461-4800 |
NPI Number | 1205297363 |
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Provider Enumeration Date | 03/16/2016 |
Last Update Date | 10/18/2024 |
Certification Date | 10/18/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205297363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 01-0550 (Ohio) | Primary |
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