| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | SAA, SHALITZA AKA QUILES, | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| Sector | CHHA | [sources] | |||
| Status | not available | [sources] | |||
| Address | 1 WILLIS PLACE, APT. 5, KEANSBURG, NJ 07734 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers disqualified from participating in New Jersey State's Medicaid program.
United States · OIFP
us-mednj-b30d3696bbd3a14cb0a120d0949f12800c0cb156 · us-mednj-743c17e284836d70ea24c0df7c55a40402a8833bFor experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | New Jersey Office of the State Comptroller | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| 1 WILLIS PLACE, APT. 5, KEANSBURG, NJ 07734 | United States | |