Last Updated: 12/22/2024 5:22:09 AM
Facility DetailCorporation / Company Owner Name | |
Business (DBA) Name | HOSPICE SOURCE LLC |
License Number | 1-S-5690 |
Facility Type | Medical Gas Supplier |
Address |
6701 NW 178TH STREET |
City, State, Zip | EDMOND,OK 73012 |
Country | |
Issue Date | 10/29/2018 |
Renewed Date | 10/07/2022 |
Expiration Date | 10/31/2023 |
Renewal Month | |
End Date | 02/16/2023 |
Status | CLOSED |
In Process? | |
Disciplinary
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