Common Care Homes LLC 08329532
Restricted
Common Care Homes LLC 08329532 is subject to Restricted. See the individual lists below.
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Address
5328 Hartsdale Drive Jackson, MS 39211
ID Details
ID NUMBER : 1033883855
ID TYPE : NPI
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Common Care Homes LLC 08329532 Sanctioned By Below Authority
| List Name | List Authority | Effective Date ▼ | Status |
|---|---|---|---|
| The Mississippi Division of Medicaid | Sep 20, 2022 | active |
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