LIFE SUPPORT CORPORATION

Restricted

LIFE SUPPORT CORPORATION is subject to Restricted. See the individual lists below.

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Addresses

Address 1 : CI MOSHANNON VALLEY, 555 GEO DRIVE PHILLIPSBURG PA 16866

Address 2 : Clearfield

Address 3 : CI MOSHANNON VALLEY, 555 GEO DRIVE

Address 4 : C/O 555 GEO DRIVE, #71451-066

ID Details

ID NUMBER : 1659699049

ID TYPE : NPI

ID TYPE : PA License Number

ID NUMBER : 1659699049

ID TYPE : Provider Npi Number

ID NUMBER : 1659699049

ID TYPE : NPI Number

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LIFE SUPPORT CORPORATION Sanctioned By Below Authorities

List Name	List Authority	Effective Date ▼	Status
Provider Exclusion Report by the State of New Jersey Medicaid Fraud Division	The Office of the State Comptroller of New Jersey	Dec 29, 2015	active
Pennsylvania Department of Public Welfare Medicheck (Precluded Providers) List	U.S. Other Government Agencies	Sep 20, 2015	active
State of New Jersey Consolidated Debarment Report	U.S. Other Government Agencies	Dec 29, 2015	active
General List of Individuals/Entities Excluded from Federal Health and Medicare Programs	U.S. Department of Health and Human Services	Sep 20, 2015	active