CLERES SHOE STORE — OIG Excluded Provider (PHILADELPHIA, PA, 1128a1)
CLERES SHOE STORE — OIG Excluded Provider (PHILADELPHIA, PA, 1128a1) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: CLERES SHOE STORE; Type: Entity; Provider category: DME COMPANY.
| Name | CLERES SHOE STORE |
|---|---|
| Type | Entity |
| Provider category | DME COMPANY |
| City | PHILADELPHIA |
| State | PA |
| ZIP | 19133 |
| Exclusion authority | 1128a1 |
| Exclusion reason | Conviction of program-related crimes |
| Exclusion date | 1986-03-11 |
| Source | HHS-OIG LEIE |
$1499/mo
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