Organization
HOMETOWN HEALTHCARE INC.
Active
Other names
Hometown Healthcare and medical equipmemnt
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN S. KILGORE (PRESIDENT)
(662) 456-4630
Entity
Organization
Contact information
Practice address
107 E WASHINGTON ST, HOUSTON, MS 38851-2225
(662) 456-4630
(662) 456-2262
Mailing address
107 E WASHINGTON ST, HOUSTON, MS 38851-2225
(662) 456-4630
(662) 456-2262
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
06827/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08056844
—
MS
Enumeration date
05/20/2006
Last updated
08/09/2011
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