| Registered Nurse - Administrator — Administrator | 163WA2000X | |
| Day Training, Developmentally Disabled Services | 251C00000X | |
| Hospice Care, Community Based | 251G00000X | |
| Nursing Care | 251J00000X | |
| Preferred Provider Organization | 305R00000X | |
| Point of Service | 305S00000X | |
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 320600000X | |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 320900000X | |
| Substance Abuse Rehabilitation Facility | 324500000X | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | |
| Durable Medical Equipment & Medical Supplies - Dialysis Equipment & Supplies — Dialysis Equipment & Supplies | 332BD1200X | |
| Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition | 332BP3500X | |
| Home Delivered Meals | 332U00000X | |
| Pharmacy | 333600000X | |
| Home Health | 251E00000X | Primary |
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