CANYON HEALTHCARE LLC HME and Services Provider License verification

Business Entity

CHANGE OF OWNERSHIP

License Type

HME and Services Provider

Description

HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER

License Number

203001379

License Status

CHANGE OF OWNERSHIP

Business

Business Name

CANYON HEALTHCARE LLC

Original Issue Date

01/03/2012

Effective Date

01/03/2012

Expiration Date

03/31/2015

City

HERNANDO

State

Zip

38632

Ever Disciplined

LastModifiedDate

01/03/2012