person
Sophia Lasie Gough
Nursing Home Administrator in Baltimore, Maryland
NPI 1295509867

Sophia Lasie Gough is a Nursing Home Administrator based in Baltimore, MD. Sophia Lasie Gough practices in Baltimore, MD. The NPI Number for Sophia Lasie Gough is 1295509867 and holds a License No. (Maryland).

The current practice location address for Sophia Lasie Gough is 1259 Limit Ave, Baltimore, MD and can be reached out via phone at 443-510-8226.

Location: 1259 Limit Ave, Baltimore, MD, 21239-1748
person
Provider Profile Details
NPI Number
1295509867
Provider Name
Sophia Lasie Gough
Credential
Provider Entity Type
Individual
Gender
Female
Address
1259 Limit Ave, Baltimore, MD, 21239-1748
Phone Number
443-510-8226
Fax Number
Provider Enumeration Date
11/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1259 Limit Ave
City
State
Zip
21239-1748
Phone Number
443-510-8226
Fax Number
person
Provider Business Mailing Address Details
Address
1259 Limit Ave
City
State
Zip
21239-1748
Phone Number
443-510-8226
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Nursing Home Administrator
Speciality
-
Taxonomy
License No.
()
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
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