Common Care Homes LLC 09487593
Restricted
Common Care Homes LLC 09487593 is subject to Restricted. See the individual lists below.
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Address
625 Lakeland East Drive Flowood, MS 39232
ID Details
ID NUMBER : 1861131831
ID TYPE : NPI
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Common Care Homes LLC 09487593 Sanctioned By Below Authority
| List Name | List Authority | Effective Date ▼ | Status |
|---|---|---|---|
| The Mississippi Division of Medicaid | Sep 21, 2022 | active |
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