Last Updated: 12/21/2024 7:07:07 PM
Facility DetailCorporation / Company Owner Name | |
Business (DBA) Name | MOUNTAIN WEST MEDICAL SUPPLY |
License Number | 88-E-8694 |
Facility Type | DME Supplier |
Address |
301 S MAIN STREET |
City, State, Zip | BLANDING,UT 84511 |
Country | |
Issue Date | 08/30/2024 |
Renewed Date | 09/04/2024 |
Expiration Date | 08/31/2025 |
Renewal Month | |
End Date | |
Status | License in Good Standing |
In Process? | |
Disciplinary
Action
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Case Date | Case Number |
No records | |