| NPI | 1083249155 |
|---|---|
| Former Legal Business Name | GOGGIN BOARDING HOME |
| Entity Type | Organization |
| Authorized Contact | CONNIE GOGGIN Administrator 573-697-5894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311Z00000X Custodial Care Facility |
| Enumeration Date | 2020-03-09 |
| Last Update Date | 2020-03-09 |