Organization
GOGGIN BOARDING HOME, LLC
Active
Other names
Goggin Boarding Home
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE GOGGIN (ADMINISTRATOR)
(573) 697-5894
Entity
Organization
Contact information
Practice address
620 COUNTRY ROAD 40, CALEDONIA, MO 63631
(573) 697-5894
(573) 697-5894
Mailing address
620 COUNTRY ROAD 40, CALEDONIA, MO 63631
(573) 697-5894
(573) 697-5894
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311Z00000X
Custodial Care Facility
—
—
Other
Enumeration date
03/09/2020
Last updated
03/09/2020
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