ROSA MARIA BASANEZ — OIG Excluded Provider (WOODSTOCK, GA, 1128a1)
ROSA MARIA BASANEZ — OIG Excluded Provider (WOODSTOCK, GA, 1128a1) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: ROSA MARIA BASANEZ; Type: Individual; Provider category: CLINIC.
| Name | ROSA MARIA BASANEZ |
|---|---|
| Type | Individual |
| Provider category | CLINIC |
| Specialty | BUSINESS MANAGER |
| City | WOODSTOCK |
| State | GA |
| ZIP | 30189 |
| Exclusion authority | 1128a1 |
| Exclusion reason | Conviction of program-related crimes |
| Exclusion date | 2010-10-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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