Canonical ID: us-mednd-a5bb6f5fecf9b5c52ab6d611bb3050dd124a526c · Entity type: LegalEntity (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
LegalEntity:address | 814 5th AVE NE Devils Lake, ND 58301 | eng | us_nd_med_exclusions | us-mednd-a5bb6f5fecf9b5c52ab6d611bb3050dd124a526c | |||
LegalEntity:country | us | eng | us_nd_med_exclusions | us-mednd-a5bb6f5fecf9b5c52ab6d611bb3050dd124a526c | |||
LegalEntity:description | Medicaid Provider ID: 1477148 | eng | us_nd_med_exclusions | us-mednd-a5bb6f5fecf9b5c52ab6d611bb3050dd124a526c | |||
LegalEntity:id | 0885487082fe8ae453900e4b89738d592c280f9d | eng | us_nd_med_exclusions | us-mednd-a5bb6f5fecf9b5c52ab6d611bb3050dd124a526c | |||
LegalEntity:name | Allred, Roshana | eng | us_nd_med_exclusions | us-mednd-a5bb6f5fecf9b5c52ab6d611bb3050dd124a526c | |||
LegalEntity:sector | Qualified Service Provider | eng | us_nd_med_exclusions | us-mednd-a5bb6f5fecf9b5c52ab6d611bb3050dd124a526c | |||
LegalEntity:topics | debarment | eng | us_nd_med_exclusions | us-mednd-a5bb6f5fecf9b5c52ab6d611bb3050dd124a526c | |||