Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | Carroll Hines | [sources] | |||
Birth date | not available | [sources] | |||
Nationality | not available | [sources] | |||
Country | United States | [sources] | |||
First name | Carroll | [sources] | |||
ID Number | 9908466 | [sources] | |||
Last name | Hines | [sources] | |||
Registration number | 9908466 | [sources] | |||
Address | Philadelphia, PA | [sources] | |||
Last change | Last processed | First seen |
List of providers excluded from participating in the Delaware Medicaid program.
United States · DHSS
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
us-medde-52c4544f8bcff36e2d50b3116b4d19b7b46b21b8
· us-medpa-58043945b8a96ff925bea5afd36535bd2ce7ed15
For 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 | |
Philadelphia, PA | United States |
United States | Department of Human Services | - | - |