Provider Demographics
NPI:1033822309
Name:LICKING/KNOX GOODWILL INDUSTRIES INC.
Entity Type:Organization
Organization Name:LICKING/KNOX GOODWILL INDUSTRIES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF CAREER SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:CHANTEL
Authorized Official - Last Name:ROWLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-931-2276
Mailing Address - Street 1:PO BOX 828
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:OH
Mailing Address - Zip Code:43058-0828
Mailing Address - Country:US
Mailing Address - Phone:330-931-2276
Mailing Address - Fax:
Practice Address - Street 1:55 S 5TH ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-5029
Practice Address - Country:US
Practice Address - Phone:330-931-2276
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-03
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable