Last Updated: 12/23/2024 5:22:52 AM
Facility DetailCorporation / Company Owner Name | TAILSTORM HEALTH INC |
Business (DBA) Name | MEDIVANT HEALTH |
License Number | 88-B-7199 |
Facility Type | Outsourcing Facility |
Address |
158 SOUTH KYRENE SUITE 6 |
City, State, Zip | CHANDLER,AZ 85226 |
Country | |
Issue Date | 12/16/2021 |
Renewed Date | 01/12/2024 |
Expiration Date | 12/31/2024 |
Renewal Month | |
End Date | |
Status | License in Good Standing |
In Process? | |
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