MARY M ANDRUS — OIG Excluded Provider (MOUNT VERNON, WA, 1128b4)
MARY M ANDRUS — OIG Excluded Provider (MOUNT VERNON, WA, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: MARY M ANDRUS; Type: Individual; Provider category: SKILLED NURSING FAC.
| Name | MARY M ANDRUS |
|---|---|
| Type | Individual |
| Provider category | SKILLED NURSING FAC |
| Specialty | NURSE/NURSES AIDE |
| City | MOUNT VERNON |
| State | WA |
| ZIP | 98273 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 2004-03-18 |
| Source | HHS-OIG LEIE |
$1499/mo
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