ANGELA BREITWEISER KEITH

Debarred entity

Born 24 Sep 1965 (61 years old),United States. Named in 3 sanctions listings.

Sanctions and listings3

Effective
31 Jul 2019
Official designation
South Carolina Department of Health and Human ServicesUS South Carolina Excluded ProvidersUnited StatesExcluded
scdhhs.gov
Effective
31 Jul 2019
Official designation
Medicaid Management Information SystemUS West Virginia Medicaid Provider Exclusions and TerminationsUnited States
Excluded Indefinitely
Terminated by another State Medicaid Agency
wvmmis.com
Effective
20 May 2020
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128a1
Programme US-HHS-OIGoig.hhs.gov oig.hhs.gov

Positions held1

Period not retained
COUNSELING CENTER (BUS OWNER/EXEC)

Identifiers1

Identifier	Number
NPI number	1811108368

Other names2

Also known as2

Angela KeithKeith, Angela

Addresses3

Sumter, SC 29150
2580 Lin Do CT, Sumter, SC 29150
GLEN RAY RD BOX A # 34085-171, ALDERSON, WV 24910

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