FacilityDetail

Last Updated:  12/23/2024 5:22:52 AM

Facility Detail                       
Corporation / 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?
 

Disciplinary Action
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Case Date   Case Number  
No records 
 

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