PV039
- Trang Riley (Unlicensed)
- Tim Holder
Owned by Trang Riley (Unlicensed)
Data Element | EndDate |
---|---|
Description | Provider end date: Report the date the provider or facility is no longer eligible to perform services for the submitting entity. Do not report any value here for providers that are still actively eligible to provide services. |
Type | Date |
Format | YYYY-MM-DD |
Length | 10 |
Threshold | 98% |
Required | Required |
Tip / Notes | |
Rank | 038 |