FacilityDetail

Last Updated:  12/22/2024 5:22:09 AM

Facility Detail                       
Corporation / Company Owner Name  
Business (DBA) Name   HOSPICE SOURCE LLC 
License Number  1-S-4034 
Facility Type Medical Gas Supplier 
Address

501 N MERIDIAN, STE 203

City, State, Zip OKLAHOMA CITY,OK 73109 
Country   
Issue Date  09/05/2014 
Renewed Date 10/01/2015
Expiration Date  09/30/2016 
Renewal Month
End Date  10/31/2016 
Status CLOSED 
In Process?
 

Disciplinary Action
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Case Date   Case Number  
No records 
 

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