Last Updated: 12/24/2024 5:22:34 AM
Facility DetailCorporation / Company Owner Name | |
Business (DBA) Name | HOSPICE SOURCE LLC |
License Number | 3-S-5689 |
Facility Type | Medical Gas Supplier |
Address |
1902 SW WASHINGTON AVENU |
City, State, Zip | LAWTON,OK 73501 |
Country | |
Issue Date | 10/26/2018 |
Renewed Date | 10/29/2018 |
Expiration Date | 10/31/2019 |
Renewal Month | |
End Date | 09/18/2019 |
Status | CLOSED |
In Process? | |
Disciplinary
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