Person
Screen this subjectLarry Godfrey
Debarred entityUnited States. Named in 1 sanctions listing.
Sanctions and listings1
- Effective
- 21 Jun 2012
Official designation
Medicaid Management Information SystemUS West Virginia Medicaid Provider Exclusions and TerminationsUnited States
Terminated Indefinitely
License revoked by WV BOM
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1154434876 |
Addresses1
1824 Murdock Avenue, Parkersburg, WV 26101
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