Organization
Screen this subjectNorthside Haven Association
Debarred entityUnited States. Named in 1 sanctions listing.
Sanctions and listings1
- Effective
- 20 Sep 2018
Official designation
Mississippi Division of MedicaidUS Mississippi Medicaid Terminated Provider ListUnited States
Licensing Problems
Identifiers1
| Identifier | Number |
|---|---|
| NPI number | 1063530467 |
Addresses1
50 Patton Place Rd
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