Provider Demographics
NPI:1801254057
Name:GOODWILL INDUSTRIES OF LORAIN COUNTY, INC.
Entity type:Organization
Organization Name:GOODWILL INDUSTRIES OF LORAIN COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-244-3174
Mailing Address - Street 1:145 KEEP CT
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-2214
Mailing Address - Country:US
Mailing Address - Phone:440-244-3174
Mailing Address - Fax:
Practice Address - Street 1:145 KEEP CT
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-2214
Practice Address - Country:US
Practice Address - Phone:440-244-3174
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GOODWILL INDUSTRIES OF LORAINCOUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-02-03
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable