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Stephen Ray Goff
Nursing Home Administrator in Grant City, Missouri
NPI 1588338560

Stephen Ray Goff is a Nursing Home Administrator based in Grant City, MO. Stephen Ray Goff practices in Grant City, MO. The NPI Number for Stephen Ray Goff is 1588338560 and holds a License No. 5463 (Missouri).

The current practice location address for Stephen Ray Goff is 1209 South High St., Grant City, MO and can be reached out via phone at 660-564-2204 and via fax at 660-564-3420.

Location: 1209 South High St., Grant City, MO, 64456
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588338560
Provider Name
Stephen Ray Goff
Credential
Provider Entity Type
Individual
Gender
Male
Address
1209 South High St., Grant City, MO, 64456
Phone Number
660-564-2204
Fax Number
660-564-3420
Provider Enumeration Date
08/04/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1209 South High St.
City
Grant City
State
Missouri
Zip
64456
Phone Number
660-564-2204
Fax Number
660-564-3420
person
Provider Business Mailing Address Details
Address
1209 South High St.
City
Grant City
State
Missouri
Zip
64456
Phone Number
660-564-2204
Fax Number
660-564-3420
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Nursing Home Administrator
Speciality
-
Taxonomy
376G00000X
License No.
5463 (Missouri)
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
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