Goodwill Industries of Central Indiana Inc

Organization Active NPI Developmentally Disabled Services Day Training Agency · Mooresville, IN

NPI 1992917801 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1992917801
Entity type
Organization (NPI type 2)
Primary specialty
Developmentally Disabled Services Day Training Agency 251C00000X
Legal business name
GOODWILL INDUSTRIES OF CENTRAL INDIANA INC
Practice address
33 E Main St
Mooresville, IN 46158-1403
Phone
(317) 834-2167
NPI assigned
May 4, 2007
Organization subpart
No

Authorized official

Name
Mr. Jim Humphrey
Title
Vice President of Workforce Service
Phone
(317) 524-4204

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Goodwill Industries of Central Indiana Inc (5 organizations share this tax ID)

Locations

33 E Main St
Mooresville, IN 46158
Phone (317) 834-2167

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X IN Yes

Addresses

Primary practice location

33 E Main St
Mooresville, IN 46158-1403

Mailing address

1635 W Michigan St
Indianapolis, IN 46222-4389
Phone (317) 524-4313

Other providers in Mooresville, IN

All providers in Mooresville, IN · Developmentally Disabled Services Day Training Agency in Indiana

Sources for this page

Verify at the official NPI Registry.