Organization · Type 2 NPI
Goggin Boarding Home, LLC
Assisted Living Facility · Caledonia, MO
NPI number
1083249155
Active
Practice location
620 Country Road 40
Caledonia, MO 63631
Fax (573) 697-5894
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
| Custodial Care Facility | 311Z00000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
About NPI 1083249155
Goggin Boarding Home, LLC's National Provider Identifier is 1083249155, issued on Mar 9, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Caledonia, MO. The record was last updated on Sep 16, 2026.