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Organization
HOMETOWN MEDICAL SUPPLIES LLC
Active
Organization
HOMETOWN MEDICAL SUPPLIES LLC
Active
Other names
Reliable Medical, Hometown Medical Supplies
Organization subpart
No
Provider details
NPI number
Authorized official
KILEY ANN RUSSELL (SENIOR DIRECTOR OF PAYOR RELATIONS)
(629) 252-8211
Entity
Organization
Contact information
Practice address
1274 ALMA CT, SAN JOSE, CA 95112-5940
(408) 279-3955
(408) 516-9662
Mailing address
9495 WINNETKA AVE N STE 200, BROOKLYN PARK, MN 55445-1706
(763) 255-3800
(763) 255-3900
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
218051407
CA
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Enumeration date
02/02/2007
Last updated
06/04/2026
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