Canonical ID: us-mednd-ce4771873bb872a6358d39cff72c9fc3e173ca25
· Entity type: LegalEntity
(reference)
Property | Value | Lang | Source dataset | Source ID | First seen | ||
---|---|---|---|---|---|---|---|
LegalEntity:address | 1625 10th Ave E West Fargo, ND 58078 | us_nd_med_exclusions | us-mednd-ce4771873bb872a6358d39cff72c9fc3e173ca25 | ||||
LegalEntity:country | us | us_nd_med_exclusions | us-mednd-ce4771873bb872a6358d39cff72c9fc3e173ca25 | ||||
LegalEntity:description | Medicaid Provider ID: 1495358 | us_nd_med_exclusions | us-mednd-ce4771873bb872a6358d39cff72c9fc3e173ca25 | ||||
LegalEntity:id | 89e2245f56f7405387a514916ec5c1142a0c3cc8 | us_nd_med_exclusions | us-mednd-ce4771873bb872a6358d39cff72c9fc3e173ca25 | ||||
LegalEntity:name | SL Home Care LLC | us_nd_med_exclusions | us-mednd-ce4771873bb872a6358d39cff72c9fc3e173ca25 | ||||
LegalEntity:npiCode | 1053124057 | us_nd_med_exclusions | us-mednd-ce4771873bb872a6358d39cff72c9fc3e173ca25 | ||||
LegalEntity:sector | Qualified Service Provider | us_nd_med_exclusions | us-mednd-ce4771873bb872a6358d39cff72c9fc3e173ca25 | ||||
LegalEntity:topics | debarment | us_nd_med_exclusions | us-mednd-ce4771873bb872a6358d39cff72c9fc3e173ca25 |