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Contact Information

GOODWILL INDUSTRIES OF DELAWARE & DELAWARE COUNTY INC
300 E LEA BLVD
WILMINGTON, DE19802-2354
 Phone: 302-761-4640
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rehabilitation

103TR0400X 62 Psychologist, Clinical
 

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GOODWILL INDUSTRIES OF DELAWARE & DELAWARE COUNTY INC

NPI # 1053907964
LBN Legal business name GOODWILL INDUSTRIES OF DELAWARE & DELAWARE COUNTY INC
Authorized official PATRICIA BROSIOUS - (WORKFORCE INITIATIVES MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/15/2020
Last updated 03/08/2021 - About 5 years ago
Identifiers
DE Medicaid 000000496
DE Medicaid 221000496
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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