Gehan E Jallaq Whitehall LLC
Restricted
Gehan E Jallaq Whitehall LLC is subject to Restricted. See the individual lists below.
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Address
3264 East Main Street,Columbus,Ohio,43213
ID Details
ID NUMBER : 0366489
ID TYPE : Provider ID
ID NUMBER : 1467009100
ID TYPE : Npi
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Gehan E Jallaq Whitehall LLC Sanctioned By Below Authority
| List Name | List Authority | Effective Date ▼ | Status |
|---|---|---|---|
| The Ohio Department of Medicaid (ODM) | Feb 29, 2024 | active |
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