Last Updated: 12/23/2024 5:22:52 AM
Facility DetailCorporation / Company Owner Name | SLPEVANS, LLC |
Business (DBA) Name | MODERN MEDICAL SUPPLY |
License Number | 29-E-8331 |
Facility Type | DME Supplier |
Address |
19453 REDBUD DR UNIT 7C |
City, State, Zip | CATOOSA,OK 74015 |
Country | |
Issue Date | 01/10/2024 |
Renewed Date | 12/13/2024 |
Expiration Date | 01/31/2026 |
Renewal Month | |
End Date | |
Status | License in Good Standing |
In Process? | |
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