DOMONIQUE JANINE COOK
Debarred entityBorn 3 May 1993 (33 years old),United States. Named in 2 sanctions listings.
Sanctions and listings2
- Effective
- 18 Jan 2024
Official designation
Medicaid Management Information SystemUS West Virginia Medicaid Provider Exclusions and TerminationsUnited States
Excluded
OIG
- Effective
- 18 Jan 2024
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.govoig.hhs.gov
Positions held1
Period not retained
PERSONAL CARE PROVID (INDIVIDUAL (UNAFFILI)
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1467050864 |
Other names1
Also known as1
Addresses1
203 Oakmont Way, Apt 203, Mount Hope, WV 25880
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