Organization

Common Care Homes LLC -09487593

Debarred entity

United States. Named in 1 sanctions listing.

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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

IdentifierNumber
NPI number1861131831

Addresses1

  • 625 Lakeland East Drive

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