| NPI | 1922950062 |
|---|---|
| Doing Business As | HOMETOWN HEALTHCARE OF COLUMBIA |
| Entity Type | Organization |
| Authorized Contact | ANTONIO LAVELLE BOOKER Chief Clinical Officer 502-599-0264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| 207QA0401X Family Medicine, Addiction Medicine | |
| Enumeration Date | 2026-02-11 |
| Last Update Date | 2026-06-16 |