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| Issue Date FY: 2023 ( Subtotal = -$2,080,673 ) |
| 2023 | 2021 | Health and Senior Services, Missouri Department of | 920 WILDWOOD DR | Jefferson City | MO | 65109 | COLE | USA | State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare | 5 | 1 | 11/9/2022 | SUPPLEMENT FOR EXPANSION | -$2,080,673 |
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| Issue Date FY: 2021 ( Subtotal = $11,713,269 ) |
| 2021 | 2021 | Health and Senior Services, Missouri Department of | 920 WILDWOOD DR | Jefferson City | MO | 65109 | COLE | USA | State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare | 1 | 1 | 12/30/2020 | NEW | $545,838 |
| 2021 | 2021 | Health and Senior Services, Missouri Department of | 920 WILDWOOD DR | Jefferson City | MO | 65109 | COLE | USA | State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare | 0 | 1 | 10/9/2020 | NEW | $2,311,028 |
| 2021 | 2021 | Health and Senior Services, Missouri Department of | 920 WILDWOOD DR | Jefferson City | MO | 65109 | COLE | USA | State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare | 3 | 1 | 4/7/2021 | SUPPLEMENT FOR EXPANSION | $2,928,317 |
| 2021 | 2021 | Health and Senior Services, Missouri Department of | 920 WILDWOOD DR | Jefferson City | MO | 65109 | COLE | USA | State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare | 4 | 1 | 7/6/2021 | SUPPLEMENT FOR EXPANSION | $2,928,318 |
| 2021 | 2021 | Health and Senior Services, Missouri Department of | 920 WILDWOOD DR | Jefferson City | MO | 65109 | COLE | USA | State Survey and Certification of Health Care Providers and Suppliers (Title XVIII) Medicare | 2 | 1 | 1/22/2021 | SUPPLEMENT FOR EXPANSION | $2,999,768 |
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