FacilityDetail

Last Updated:  12/22/2024 7:09:13 PM

Facility Detail                       
Corporation / Company Owner Name  
Business (DBA) Name   BLUE HAVEN MEDICAL SUPPLY, INC 
License Number  88-E-8324 
Facility Type DME Supplier 
Address

19311 W US HIGHWAY 82

City, State, Zip SHERMAN,TX 75092 
Country   
Issue Date  12/29/2023 
Renewed Date 12/29/2023
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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