Last Updated: 1/10/2025 5:22:07 AM
Facility DetailCorporation / Company Owner Name | |
Business (DBA) Name | PROVIDER PLUS INC |
License Number | 88-G-8878 |
Facility Type | DME Supplier / Medical Gas Distributor |
Address |
7748 WATSON ROAD |
City, State, Zip | ST. LOUIS,MO 63119-5407 |
Country | |
Issue Date | 01/02/2025 |
Renewed Date | 01/03/2025 |
Expiration Date | 01/31/2026 |
Renewal Month | |
End Date | |
Status | License in Good Standing |
In Process? | |
Disciplinary
Action
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