Last Updated: 12/23/2024 5:22:52 AM
Facility DetailCorporation / Company Owner Name | |
Business (DBA) Name | GRACE MEDICAL EQUIPMENT LLC |
License Number | 36-E-8163 |
Facility Type | DME Supplier |
Address |
1516 N. GRAND AVE |
City, State, Zip | TAHLEQUAH,OK 74464 |
Country | |
Issue Date | 09/15/2023 |
Renewed Date | 10/03/2024 |
Expiration Date | 09/30/2025 |
Renewal Month | |
End Date | |
Status | License in Good Standing |
In Process? | |
Disciplinary
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Case Date | Case Number |
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