| NPI | 1700534229 |
|---|---|
| Doing Business As | HOMETOWN HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | TAMMY ETHERIDGE Chief Operating Officer 731-352-7907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2024-05-06 |