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 |
Service providers who have been terminated for cause from Mississippi's Medicaid program.
United States of America · Mississippi Division of Medicaid
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
us-medpa-b0c295b4309b16c707a949cef11c01bcbfbaced1
· us-medms-7b4f5ab52b7c81c45557cba554cf974e326e3786
For experts: raw data explorer
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Address | ||
---|---|---|
Full address | Country | |
(MS), (MS) | United States |
United States | Department of Human Services | - | - |