Organization
HOMETOWN HEALTHCARE AND PEDIATRICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN WELCH (OFFICE MANAGER)
(352) 246-8566
Entity
Organization
Contact information
Practice address
315 N MAIN ST, TRENTON, FL 32693-3462
(352) 246-8566
(734) 322-0384
Mailing address
22856 SW 46TH AVE, NEWBERRY, FL 32669-4713
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116287400
—
FL
Enumeration date
05/25/2022
Last updated
01/06/2023
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