Organization
HOMETOWN MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC D PITLUCK (OWNER)
(816) 734-7800
Entity
Organization
Contact information
Practice address
7711 N OAK TRFY, SUITE R, GLADSTONE, MO 64118-1712
(816) 734-7800
(816) 734-7801
Mailing address
7711 N OAK TRFY, SUITE R, GLADSTONE, MO 64118-1712
(816) 734-7800
(816) 734-7801
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
626275507
—
MO
Enumeration date
07/16/2006
Last updated
07/16/2009
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