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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | DOMONIQUE JANINE COOK · Domonique Cook | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States of America | [sources] | |||
| First name | DOMONIQUE · Domonique | [sources] | |||
| Last name | COOK · Cook | [sources] | |||
| Middle name | JANINE | [sources] | |||
| NPI | 1467050864 | [sources] | |||
| Position | PERSONAL CARE PROVID (INDIVIDUAL (UNAFFILI) | [sources] | |||
| Address | 203 OAKMONT WAY, APT 203, MOUNT HOPE, WV 25880 · 203 Oakmont Way, Apt 203, Mount Hope, WV 25880 | [sources] | |||
| Last change | Last processed | First seen | |||
People and companies excluded from Federally funded health care programs
United States of America · OIG
Medicaid providers sanctioned in West Virginia's Medicaid program.
United States of America · MMIS
us-medwv-b4ece6c8ef19efcf5016cc150b6d673a76a95c4b · us-fed-excl-domonique-janine-cook-25880-mount-hopeFor experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States of America | Medicaid Management Information System | - | |||
| United States of America | Department of Health and Human Services Office of Inspector General | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| 203 Oakmont Way, Apt 203, Mount Hope, WV 25880 | United States of America | |