NPI | 1750040465 |
---|---|
Doing Business As | HOMETOWN MEDICAL SUPPLIES |
Entity Type | Organization |
Authorized Contact | KILEY ANN RUSSELL Senior Director Of Payor Relations 629-252-8211 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2021-12-09 |
Last Update Date | 2024-04-17 |