# HOMETOWN HEALTHCARE AND PEDIATRICS LLC

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

## Provider details

- **NPI number:** 1235877697
- **Authorized official:** KRISTEN WELCH (OFFICE MANAGER)
- **Authorized official phone:** (352) 246-8566

## Contact information

- **Practice address:** 315 N MAIN ST, TRENTON, FL 32693-3462
- **Practice address phone:** (352) 246-8566
- **Practice address fax:** (734) 322-0384
- **Mailing address:** 22856 SW 46TH AVE, NEWBERRY, FL 32669-4713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/25/2022
- **Last updated:** 01/06/2023