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GOODWILL INDUSTRIES OF ST CLAIR COUNTY NPI 1861699480


NPI Information

NPI: 1861699480
Provider Name: GOODWILL INDUSTRIES OF ST CLAIR COUNTY
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
1013 26TH ST
PORT HURON, MI
ZIP 48060
Phone: (810) 987-9333
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GOODWILL INDUSTRIES OF ST CLAIR COUNTY is a day training developmentally disabled services in Port Huron, MI. The provider is 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 individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. GOODWILL INDUSTRIES OF ST CLAIR COUNTY NPI is 1861699480. The provider is registered as an organization entity type.

The provider's business location address is:

1013 26TH ST
PORT HURON, MI
ZIP 48060-853
Phone: (810) 987-9333
Fax: (810) 987-3121

The provider's authorized official is Philip Edward Papes .
The authorized official title is Executive Director and has the following contact phone number (810) 987-9333.

The enumeration date for this NPI number is 6/28/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251C00000XDay Training, Developmentally Disabled ServicesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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