| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | Extended Support Services Inc. · Extended Support Services, Inc. | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | not available | [sources] | |||
| Country | United States | [sources] | |||
| ID Number | 1659122836 | [sources] | |||
| NPI | 1659122836 | [sources] | |||
| Registration number | not available | [sources] | |||
| Tax Number | 991855696 | [sources] | |||
| Address | Bedford, PA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
List of providers excluded from participating in the Delaware Medicaid program.
United States · DHSS
us-medde-d9245c0471b146d182992911d1bb08cfeab15659 · us-medpa-483d192c17877a0fef70a90f41c2b696d128a432For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | Pennsylvania Department of Human Services | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| Bedford, PA | United States | |
| Linked from | ||||
|---|---|---|---|---|
| Subject | Role | Start date | End date | |
| Gennifer E. Washington Debarred entity | - | - | - | |
| United States | Department of Human Services | - | - |