Land of Lincoln Goodwill Industries
NPI #1801244363 in Springfield, Illinois
Provider Information
- NPI Number
- 1801244363
- Entity Type
- Organization
- Organization Name
- Land of Lincoln Goodwill Industries
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- May 25, 2016
- Last Updated
- May 25, 2016
Practice Location
- Address
- 1220 OUTER PARK DR
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-4409
- Phone
- (217) 789-0400
Authorized Official
- Name
- DENNIS MABERRY, MA
- Title
- VICE PRESIDENT OF VOCATIONAL REHAB
- Phone
- (217) 494-7198
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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