Whalio Doctors

NPI 1588338560

Stephen Ray Goff

Practitioner Nursing Home Administrator Grant City, MO

Practice location

Address
1209 South High St., Grant City, MO 64456
Phone
(660) 564-2204
Fax
(660) 564-3420
Mailing address
18257 Lyon Av., Grant City, MO 64456

Registered specialties

Nursing Home Administrator Primary
Nursing Service Related Providers Taxonomy 376G00000X Licence 5463 (MO)

Registry record

NPI
1588338560
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Aug 2021
Record last updated
4 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.