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NPI Code Detail

MEDICARE: W & K GOODWIN VENTURES INCORPORATED

MEDICARE: W & K GOODWIN VENTURES INCORPORATED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency7142MA

General Provider Information

NPI Number : 1043439151
Entity Type Code : Organization
Provider Name (Legal Business Name) : W & K GOODWIN VENTURES INCORPORATED
Provider Business Mailing Address
First Line : 129 DODGE ST
Second Line : SUITE ONE
City : BEVERLY
State : MA
Zip : 01915-1862
Country : US
Telephone Number : 978-232-9988
Fax Number : 978-232-9977
Provider Business Practice Location Address
First Line : 129 DODGE ST
Second Line : SUITE ONE
City : BEVERLY
State : MA
Zip : 01915-1862
Country : US
Telephone Number : 978-232-9988
Fax Number : 978-232-9977
Authorized Official
Title or Position : PRESIDENT
Name : MR. WARREN EDWARD GOODWIN
Credential :
Telephone Number : 978-232-9988
Provider Enumeration Date : 04/25/2007
Last Update Date : 12/08/2009

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Directions to “W & K GOODWIN VENTURES INCORPORATED ” Practice Location

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