NPI | 1023611241 |
---|---|
Doing Business As | HOMETOWN HEALTH CLINIC |
Entity Type | Organization |
Authorized Contact | TAMMY ETHERIDGE Chief Operating Officer 731-352-7907 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2020-11-19 |
Last Update Date | 2024-05-06 |