| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Angela Keith · Keith, Angela | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Angela | [sources] | |||
| Last name | Keith | [sources] | |||
| NPI | 1811108368 | [sources] | |||
| Sector | Bus Owner/Exec - Counseling Center | [sources] | |||
| Address | 2580 Lin Do CT, Sumter, SC 29150-1832 · Sumter, SC 29150 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers excluded from South Carolina's Medicaid program.
United States · SCDHHS
Medicaid providers sanctioned in West Virginia's Medicaid program.
United States · MMIS
us-medsc-e5fd1c868f61959ecd7d4b1b7575dcb913d93326 · us-medwv-b39c047c82f1c89378f5a2d6c698fd22a32db520For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | South Carolina Department of Health and Human Services | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| 2580 Lin Do CT, Sumter, SC 29150-1832 | United States | |
| United States | Medicaid Management Information System | - | - |