Type not stated

Angeline Taboh

Debarred entity

United States. Named in 2 sanctions listings.

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Summary

KMAP Provider Number 201308960A

License number: 2020026237

Sanctions and listings2

  • Effective
    17 May 2022

    Official designation

    Kansas Department of Health and EnvironmentUS Kansas Medicaid Terminated Provider ListUnited States

    Terminated under a separate Medicaid enrollment.

    kdhe.ks.gov

  • Effective
    28 Oct 2021

    Official designation

    Missouri Medicaid Audit & ComplianceUS Missouri Medicaid Provider TerminationsUnited States

    REVOKED LICENSE

    mmac.mo.gov

Identifiers1

IdentifierNumber
NPI number1710599204

Other names1

Also known as1

TABOH, ANGELINE

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