Type | Person | [sources] | |||
---|---|---|---|---|---|
Name | THOMAS A JACKSON · Thomas A. Jackson | [sources] | |||
Birth date | [sources] | ||||
Nationality | not available | [sources] | |||
Country | United States of America | [sources] | |||
First name | Thomas | [sources] | |||
Last name | Jackson | [sources] | |||
Middle name | A · A. | [sources] | |||
Title | PCA | [sources] | |||
Position | PERSONAL CARE PROVID (INDIVIDUAL (UNAFFILI) | [sources] | |||
Address | 4500 N 17TH ST, PHILADELPHIA, PA 19140 · Philadelphia, PA | [sources] | |||
Last change | Last processed | First seen |
People and companies excluded from Federally funded health care programs
United States of America · OIG
Medical providers who are precluded from participation in the Medical Assistance Program
United States of America · DHS
us-medpa-5c24910b04ae11618d7db4b48a609739d67ea905
· us-fed-excl-thomas-a-jackson-19140-philadelphia
For experts: raw data explorer
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Sanctions | |||||
---|---|---|---|---|---|
Country | Authority | Program | Start date | End date | |
United States of America | Department of Human Services | - |
Address | ||
---|---|---|
Full address | Country | |
Philadelphia, PA | United States of America |
United States of America | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |