POLLY JEAN DICKSON BENNETT — OIG Excluded Provider (TULSA, OK, 1128b4)
POLLY JEAN DICKSON BENNETT — OIG Excluded Provider (TULSA, OK, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: POLLY JEAN DICKSON BENNETT; Type: Individual; Provider category: SKILLED NURSING FAC.
| Name | POLLY JEAN DICKSON BENNETT |
|---|---|
| Type | Individual |
| Provider category | SKILLED NURSING FAC |
| Specialty | NURSE/NURSES AIDE |
| City | TULSA |
| State | OK |
| ZIP | 74146 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 2003-10-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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