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✓ OIG exclusion check passed — not excluded from federal healthcare programs
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SMITH STREET VILLAGE FAMILY CARE HOME, LLC

Custodial Care Facility

OIG CLEARNPI VERIFIED
Location
LEICESTER, NC
Licensed since
2015
Rate
Federal identifiers
NPI registry number1275916942
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameNICHOLAS STREET
TitlePRESIDENT/ADMINISTRATOR
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