# HOMETOWN MEDICAL SUPPLY, INC.

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

## Provider details

- **NPI number:** 1225007685
- **Authorized official:** MISS JESICA SANTANA COLON (PRESIDENT)
- **Authorized official phone:** (239) 369-1425

## Contact information

- **Practice address:** 516 JOEL BLVD, UNIT D, LEHIGH ACRES, FL 33936-4305
- **Practice address phone:** (239) 369-1425
- **Practice address fax:** (239) 369-5927
- **Mailing address:** 516 JOEL BLVD, UNIT D, LEHIGH ACRES, FL 33936-4305
- **Mailing address phone:** (239) 369-1425
- **Mailing address fax:** (239) 369-5927

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | FL | Yes |

## Other

- **Enumeration date:** 03/16/2006
- **Last updated:** 11/04/2008