PHENOMENAL ANGELS, LLC — OIG Excluded Provider (LAS VEGAS, NV, 1128a1)
PHENOMENAL ANGELS, LLC — OIG Excluded Provider (LAS VEGAS, NV, 1128a1) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: PHENOMENAL ANGELS, LLC; Type: Entity; Provider category: OTHER BUSINESS.
| Name | PHENOMENAL ANGELS, LLC |
|---|---|
| Type | Entity |
| Provider category | OTHER BUSINESS |
| Specialty | MENTAL/BEHAVIORAL HE |
| NPI | 1477908275 |
| City | LAS VEGAS |
| State | NV |
| ZIP | 89120 |
| Exclusion authority | 1128a1 |
| Exclusion reason | Conviction of program-related crimes |
| Exclusion date | 2022-08-18 |
| Source | HHS-OIG LEIE |
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