Organization
HOMETOWN MEDICAL SUPPLIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY L PENNINGTON (PRESIDENT)
(606) 376-1551
Entity
Organization
Contact information
Practice address
25 MEDICAL LANE, WHITLEY CITY, KY 42653
(606) 376-1551
(606) 376-4444
Mailing address
PO BOX 1180, WHITLEY CITY, KY 42653-1180
(606) 376-1551
(606) 376-4444
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
10365
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100004290
—
KY
Enumeration date
10/14/2005
Last updated
04/15/2022
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