Organization
GOFF MANAGEMENT LLC DBA ORILLA'S WAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN GOFF (LNHA)
(660) 541-2471
Entity
Organization
Contact information
Practice address
1209 SOUTH HIGH STREET, GRANT CITY, MO 64456
(660) 564-2204
Mailing address
18257 LYON ST, GRANT CITY, MO 64456-8226
(166) 054-1247
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/19/2021
Last updated
08/19/2021
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