FacilityDetail

Last Updated:  10/14/2019 7:35:51 PM

Facility Detail                       
Corporation / Company Owner Name  
Business (DBA) Name   MEDI-SERV HOME CARE 
License Number  10-S-1081 
Facility Type Medical Gas Supplier 
Address

2102-B N KICKAPOO

City, State, Zip SHAWNEE,OK 74804-2721 
Country   
Issue Date  12/17/2004 
Renewed Date 12/05/2008
Expiration Date  12/31/2009 
Renewal Month
End Date  07/01/2009 
Status CLOSED 
In Process?
 

Disciplinary Action
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Case Date   Case Number  
No records 
 

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