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Medicaid Michigan Sanction Provider List January 18, 2022 ...

Entity NameLast NameFirst NameMiddle NameProvider CategoryNPI#CityLicense# Sanction Date1 Sanction SourceSanction Date2 Sanction SourceReason1st Priority Physical Therapy LLCG roup1134422363 Detroit8/2/2016 MDHHS-OIGS ummary SuspensionAGSS Properties LLCHome Help AgencyAnn Arbor8/29/2017 MDHHSA Dental Center PC - Allen ParkDental GroupAllen Park5/20/2004 HHS1128(a)(1)A Dental Center PC - SouthgateDental GroupSouthgate7/20/20041128(a)(1)A Place Called HomeGoreeJimmieNon Emergency TransportationDetroit6/1/2017 MDHHSA byssinia Love Knot Physical Therapy LLCM edical Group1255667556 Southfield8/3/2016 MDHHS-OIGS ummary Supension Absolute ApothecaryPharmacy/Medical SupplierDetroit53010040655/24/1994 HHS1128(b)(3)Absolute Prescription CenterPharmacy/Medical SupplierDetroit53010045945/23/1994 HHS1128(b)(3)Advanced Care Services Group1811290794 Oak Park12/22/2

East Village Pharmacy Pharmacy 1982928818 Dearborn 8/29/2016 MDHHS-OIG Summary Suspension EB James Nursing Center Nursing Facility Detroit 83422 2/12/2002 MI-Licensing ... Hartford Chiropractic Clinic Group 1699882951 Hartford 6/6/2017 MDHHS-OIG 9/23/2017 MDHHS-OIG Summary Suspension

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  Michigan, East, Hartford

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