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⚠ MEDICARE REVOKED — not eligible for federal healthcare programs · Since 2021-03-02
IH

IMMACULATE HEALTHCARE SERVICES INC

Home Health Agency

OIG CLEAR⚠ MEDICARE REVOKEDNPI VERIFIED
Location
GRAND PRAIRIE, TX
Licensed since
2006
Rate
Federal identifiers
NPI registry number1568476836
Agency details
Medicare activity
Status⚠ Revoked — cannot bill Medicare
Authorized official
NameOLARINRE AJAYI
TitleOWNER
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