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Organization
HOMETOWN HEALTHCARE SOLUTION, LLC.
Active
Organization
HOMETOWN HEALTHCARE SOLUTION, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN ELAINE GRAHAM DNP APRN FNP BC (PROVIDER)
(918) 319-5021
Entity
Organization
Contact information
Practice address
811 W MAIN ST, HENRYETTA, OK 74437-4249
(918) 319-5021
Mailing address
402 N KINGS RD, HENRYETTA, OK 74437-3809
(918) 319-5021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/10/2022
Last updated
04/16/2025
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