BLACK RIVER HEALTHCARE
Restricted
BLACK RIVER HEALTHCARE is subject to Restricted. See the individual lists below.
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ID Details
ID NUMBER : 1376841064
ID TYPE : NPI Number
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BLACK RIVER HEALTHCARE Sanctioned By Below Authority
List Name | List Authority | Effective Date ▼ | Status |
---|---|---|---|
| The Missouri Department of Social Services | Jan 22, 2012 | active |
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