Goodwill Industries of Wy, Inc.

NPI #1639303167 in Cheyenne, Wyoming

Provider Information

NPI Number: 1639303167
Entity Type: Organization
Organization Name: Goodwill Industries of Wy, Inc.
Primary Specialty: Case Management
Enumeration Date: May 12, 2009
Last Updated: May 12, 2009

Practice Location

Address: 612 W 17TH ST
City: Cheyenne
State: Wyoming
ZIP Code: 82001-4343
Phone: (307) 634-0823

Authorized Official

Name: ANGIE HARRISON
Title: ACCOUNTANT
Phone: (307) 634-0823

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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