Pilgrim Sullivant LLC
Restricted
Pilgrim Sullivant LLC is subject to Restricted. See the individual lists below.
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Address
3219 Sullivant Avenue,Columbus,Ohio,43204
ID Details
ID NUMBER : 0192435
ID TYPE : Provider ID
ID NUMBER : 1003358045
ID TYPE : Npi
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Pilgrim Sullivant LLC Sanctioned By Below Authority
| List Name | List Authority | Effective Date ▼ | Status |
|---|---|---|---|
| The Ohio Department of Medicaid (ODM) | Oct 1, 2019 | active |
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