Our House of Mayersville ADC

Debarred entity

United States. Named in 1 sanctions listing.

Sanctions and listings1

Effective
24 Aug 2018
Official designation
Mississippi Division of MedicaidUS Mississippi Medicaid Terminated Provider ListUnited States
Noncompliance with Provider Agreement
medicaid.ms.gov

Identifiers1

Identifier	Number
NPI number	1023492063

Addresses1

2537 Bobolink Place

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