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| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | Maydads Medical Supply | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | not available | [sources] | |||
| Country | United States | [sources] | |||
| NPI | 1447424155 · 1881726990 | [sources] | |||
| Registration number | not available | [sources] | |||
| Sector | Durable Medical Equipment · Owner | [sources] | |||
| Address | Correctional Institution, P.O. Box 1500 , Pecos, TX 79772 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
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| Linked to | ||||
|---|---|---|---|---|
| Object | Role | Start date | End date | |
| Ijewere, Sylvester Debarred entity | - | - | - | |