DELLA MARIE BASCOM — OIG Excluded Provider (VERGENNES, VT, 1128b4)
DELLA MARIE BASCOM — OIG Excluded Provider (VERGENNES, VT, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: DELLA MARIE BASCOM; Type: Individual; Provider category: SKILLED NURSING FAC.
| Name | DELLA MARIE BASCOM |
|---|---|
| Type | Individual |
| Provider category | SKILLED NURSING FAC |
| Specialty | NURSE/NURSES AIDE |
| City | VERGENNES |
| State | VT |
| ZIP | 05491 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 1997-11-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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