NPI | 1114004710 |
---|---|
Doing Business As | HOMETOWN MEDICAL SUPPLY |
Entity Type | Organization |
Authorized Contact | KERI SUESS President 479-394-1833 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2006-11-01 |
Last Update Date | 2011-10-05 |