Last Updated: 12/22/2024 5:22:09 AM
Facility DetailCorporation / Company Owner Name | |
Business (DBA) Name | HOSPICE SOURCE |
License Number | 1-G-8044 |
Facility Type | DME Supplier / Medical Gas Distributor |
Address |
3920 NW 39TH ST STE G |
City, State, Zip | OKLAHOMA CITY,OK 73112 |
Country | |
Issue Date | 06/21/2023 |
Renewed Date | 06/22/2023 |
Expiration Date | 06/30/2024 |
Renewal Month | |
End Date | 08/01/2024 |
Status | CLOSED |
In Process? | |
Disciplinary
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Case Date | Case Number |
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