Common Care Homes LLC -08329532

Debarred entity

United States. Named in 1 sanctions listing.

Sanctions and listings1

Effective
20 Sep 2022
Official designation
Mississippi Division of MedicaidUS Mississippi Medicaid Terminated Provider ListUnited States
Noncompliance with Provider Agreement
medicaid.ms.gov

Identifiers1

Identifier	Number
NPI number	1033883855

Addresses1

5328 Hartsdale Drive

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