Canonical ID: us-mednd-9194452f0794abb9e35856adbafacab1bd599703 · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:address | Extended Life Home Care 109 Collins Ave Mandan, ND 58554 | eng | us_nd_med_exclusions | us-mednd-9194452f0794abb9e35856adbafacab1bd599703 | |||
LegalEntity:country | us | eng | us_nd_med_exclusions | us-mednd-9194452f0794abb9e35856adbafacab1bd599703 | |||
LegalEntity:description | Medicaid Provider ID: 1455508 | eng | us_nd_med_exclusions | us-mednd-9194452f0794abb9e35856adbafacab1bd599703 | |||
LegalEntity:id | f3f508b306c142e0c72eb52350a56540dcd94d9a | eng | us_nd_med_exclusions | us-mednd-9194452f0794abb9e35856adbafacab1bd599703 | |||
LegalEntity:name | Extended Life Home Care | eng | us_nd_med_exclusions | us-mednd-9194452f0794abb9e35856adbafacab1bd599703 | |||
LegalEntity:sector | Qualified Service Provider | eng | us_nd_med_exclusions | us-mednd-9194452f0794abb9e35856adbafacab1bd599703 | |||
LegalEntity:topics | debarment | eng | us_nd_med_exclusions | us-mednd-9194452f0794abb9e35856adbafacab1bd599703 | |||