| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | THOMAS A JACKSON · Thomas A. Jackson | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [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 · OIG
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
us-medpa-5c24910b04ae11618d7db4b48a609739d67ea905 · us-fed-excl-thomas-a-jackson-19140-philadelphiaFor experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| Philadelphia, PA | United States | |
| United States | Department of Health and Human Services Office of Inspector General | List of Excluded Individuals/Entities (LEIE) | - |