| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | Okoye, Makosana Supported Living Inc. · Supported Living Inc. | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1215166624 | [sources] | |||
| Registration number | not available | [sources] | |||
| Sector | Multiple Srvs Providers, HCBS | [sources] | |||
| Tax Number | 270447701 | [sources] | |||
| Address | (MS), (MS) · 400 Fontaine Place, Suite 101, Ridgeland, MS 39157 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
Service providers who have been terminated for cause from Mississippi's Medicaid program.
United States · Mississippi Division of Medicaid
us-medms-7b4f5ab52b7c81c45557cba554cf974e326e3786 · us-medpa-b0c295b4309b16c707a949cef11c01bcbfbaced1For experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| (MS), (MS) | United States | |
| United States | Mississippi Division of Medicaid | - | - |