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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | LYKEISHIA R JACKSON · Lykeishia Jackson | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | Provider ID: 0322948 | [sources] | |||
| First name | Lykeishia | [sources] | |||
| Last name | Jackson | [sources] | |||
| Middle name | R | [sources] | |||
| NPI | 1407324122 | [sources] | |||
| Sector | 54 - Chemical Dependency | [sources] | |||
| Position | HOME HEALTH AGENCY (EMPLOYEE - PRIVATE S) | [sources] | |||
| Address | 7121 WATERFRONT LANE, BLACKLICK, OH 43004 | [sources] | |||
| Last change | Last processed | First seen | |||
People and companies excluded from Federally funded health care programs
United States · OIG
Medical providers excluded or suspended from Ohio's Medicaid program.
United States · ODM
us-fed-excl-lykeishia-r-jackson-43004-blacklick · us-medoh-1bde2cd93b1ab704aa08084b7511834d6079e129For experts: raw data explorer
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| United States | Ohio Department of Medicaid | - | - |