Organization
HOMETOWN MEDICAL & REHAB
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY AGUILAR (OWNER)
(831) 423-6909
Entity
Organization
Contact information
Practice address
740 FRONT ST STE 170, SANTA CRUZ, CA 95060-4536
(831) 423-6909
(831) 423-6900
Mailing address
740 FRONT ST STE 170, SANTA CRUZ, CA 95060-4536
(831) 423-6909
(831) 423-6900
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SR GHC 102 062635
SELLERS PERMIT
CA
Enumeration date
05/21/2007
Last updated
05/11/2011
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