| NPI | 1477399871 |
|---|---|
| Doing Business As | HOMETOWN HEALTHCARE OF PORT JERVIS |
| Entity Type | Organization |
| Authorized Contact | ROSELLE AGUILA LITTLE Managing Director 845-204-8204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2024-07-04 |
| Last Update Date | 2024-11-19 |