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| Type | Legal entity | [sources] | |||
|---|---|---|---|---|---|
| Name | Forderer, Kevin | [sources] | |||
| Legal form | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | Medicaid Provider ID: 1451689 | [sources] | |||
| NPI | 1568061018 | [sources] | |||
| Sector | Adult Foster Care/ Qualified Service Provider | [sources] | |||
| Status | not available | [sources] | |||
| Address | 13801 10th Ave SE Bismarck, ND 58504 | [sources] | |||
| Last change | Last processed | First seen | |||
This dataset contains a list of providers who have been terminated for cause from North Dakota's Medicaid program.
United States of America · NDHHS
For experts: raw data explorer
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