Provider Demographics
NPI:1285838771
Name:GOODALE VENTURES LLC
Entity Type:Organization
Organization Name:GOODALE VENTURES LLC
Other - Org Name:BELTONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:D
Authorized Official - Last Name:GOODALE
Authorized Official - Suffix:
Authorized Official - Credentials:BS-HIS
Authorized Official - Phone:361-575-9911
Mailing Address - Street 1:2806 N NAVARRO ST STE L
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-3937
Mailing Address - Country:US
Mailing Address - Phone:361-575-9911
Mailing Address - Fax:361-575-9977
Practice Address - Street 1:2806 N NAVARRO ST STE L
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-3937
Practice Address - Country:US
Practice Address - Phone:361-575-9911
Practice Address - Fax:361-575-9977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50652332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment