ADVANCE ACQUIRED BRAIN INJURY REHABILITATION PROGRAM
NPI 1225308760
Voluntary or Charitable in Savannah, GA

Active since December 30, 2011
7220 SALLIE MOOD DR, SAVANNAH, GA 31406(912) 354-6611(912) 354-3787 Get Directions Write a Review

NPPES record last updated: January 2, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Voluntary or Charitable

About ADVANCE ACQUIRED BRAIN INJURY REHABILITATION PROGRAM

This page provides the complete NPI Profile along with additional information for Advance Acquired Brain Injury Rehabilitation Program, a provider established in Savannah, Georgia operating as a Voluntary Or Charitable. The healthcare provider is registered in the NPI registry with number 1225308760 assigned on December 2011. The practitioner's primary taxonomy code is 251V00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The provider's is doing business as Advance Acquired Brain Injury Rehabilitation Program. The authorized official of this NPI record is Mr. Bardwell B. Way (Vice President, Finance)

NPI
1225308760 Verify this NPI
Provider Legal Name
GOODWILL INDUSTRIES OF THE COASTAL EMPIRE, INC.
Other Organization Name
ADVANCE ACQUIRED BRAIN INJURY REHABILITATION PROGRAM
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
7220 SALLIE MOOD DR SAVANNAH, GA 31406
Location Phone
(912) 354-6611
Location Fax
(912) 354-3787
Mailing Address
PO BOX 15007 SAVANNAH, GA 31416
Mailing Phone
(912) 354-6611
Mailing Fax
(912) 354-3787
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-30-2011
Last Update Date
01-02-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Voluntary or Charitable

Taxonomy Code
251V00000X
Type
Agencies

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. BARDWELL B. WAY

Authorized Official Title
VICE PRESIDENT, FINANCE
Authorized Official Phone
(912) 354-6611

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225308760, enumerated as an "organization" on December 30, 2011.

The provider is located at 7220 SALLIE MOOD DR SAVANNAH, GA 31406 and the phone number is (912) 354-6611.

Voluntary or Charitable with taxonomy code 251V00000X.