Organization
HOMETOWN MEDICAL SUPPLY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JESICA SANTANA COLON (PRESIDENT)
(239) 369-1425
Entity
Organization
Contact information
Practice address
516 JOEL BLVD, UNIT D, LEHIGH ACRES, FL 33936-4305
(239) 369-1425
(239) 369-5927
Mailing address
516 JOEL BLVD, UNIT D, LEHIGH ACRES, FL 33936-4305
(239) 369-1425
(239) 369-5927
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026226900
—
FL
Enumeration date
03/16/2006
Last updated
11/04/2008
Update your record
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