# HOMETOWN HEARING CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194212704
- **Authorized official:** LARRY O OTWELL AU.D. (OWNER)
- **Authorized official phone:** (850) 625-3796

## Contact information

- **Practice address:** 4297 3RD AVE, MARIANNA, FL 32446-2136
- **Practice address phone:** (850) 625-3796
- **Mailing address:** 4297 3RD AVE, MARIANNA, FL 32446-2136
- **Mailing address phone:** (850) 625-3796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231HA2400X | Assistive Technology Practitioner Audiologist | AY370 | FL | Yes |

## Other

- **Enumeration date:** 04/18/2018
- **Last updated:** 04/18/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 600237400 | — | FL |