Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | Holli Telford Lundahl | [sources] | |||
Birth date | [sources] | ||||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
Description | Provider Number: N/A | [sources] | |||
First name | HOLLI · Holli Telford | [sources] | |||
Last name | Lundahl | [sources] | |||
Middle name | TELFORD | [sources] | |||
Sector | Waiver | [sources] | |||
Position | PERSONAL CARE PROVID (INDIVIDUAL (UNAFFILI) | [sources] | |||
Address | Fort Worth, TX · P O BOX 27137, #05151-112, FORT WORTH, TX 76127 | [sources] | |||
Last change | Last processed | First seen |
People and companies excluded from Federally funded health care programs
United States of America · OIG
Medical providers deemed ineligible to participate in Wyoming's Medicaid program.
United States of America · WDH
us-medwy-7b3ca9431e02f7a204ae68382ce3c90d89d0705d
· us-fed-excl-holli-telford-lundahl-76127-fort-worth
For experts: raw data explorer
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Sanctions | |||||
---|---|---|---|---|---|
Country | Authority | Program | Start date | End date | |
United States of America | Department of Health and Human Services Office of Inspector General | - |
Address | ||
---|---|---|
Full address | Country | |
Fort Worth, TX | United States of America |
United States of America | Wyoming Department of Health | - | - |