1 SapherCheck records found for Person Larry godfrey
1. Larry Godfrey
| Profile Type | PERSON |
|---|---|
| Name |
LARRY GODFREY
|
| First Name |
LARRY
|
| Last Name |
GODFREY
|
| Country |
UNITED STATES
|
| First Seen | 2024-10-02 |
| Last Seen | 2024-10-24 |
| Last Change | 2024-10-02 |
| Npi Code |
1154434876
|
| Datasets |
US WEST VIRGINIA MEDICAID PROVIDER EXCLUSIONS AND TERMINATIONS
|
| Address |
1824 MURDOCK AVENUE, PARKERSBURG, WV 26101
|
| Topics |
DEBARRED ENTITY
|
1 Sanctions
1. Sanction Caption: Sanction| Sanction Caption | Sanction |
|---|---|
| Sanction Datasets |
US West Virginia Medicaid Provider Exclusions and Terminations |
| Sanction First Seen | 2024-10-02 |
| Sanction Last Change | 2024-10-02 |
| Sanction Last Seen | 2024-10-24 |
| Sanction Properties |
Authority:
Medicaid Management Information System Start Date: 2012-06-21 Country: United States Entity: us-medwv-23a6b0f3e56d69fd09a2a97e1726c278ba9643d5 Provisions: Terminated Indefinitely Reason: License revoked by WV BOM Source URL: https://www.wvmmis.com/WV%20Medicaid%20Provider%20SanctionedExclusion/Forms/AllItems.aspx |