# HOMETOWN HEALTHCARE SOLUTION, LLC.

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

## Provider details

- **NPI number:** 1467182741
- **Authorized official:** MRS. SUSAN ELAINE GRAHAM DNP APRN FNP BC (PROVIDER)
- **Authorized official phone:** (918) 319-5021

## Contact information

- **Practice address:** 811 W MAIN ST, HENRYETTA, OK 74437-4249
- **Practice address phone:** (918) 319-5021
- **Mailing address:** 402 N KINGS RD, HENRYETTA, OK 74437-3809
- **Mailing address phone:** (918) 319-5021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/10/2022
- **Last updated:** 04/16/2025