Organization
HOMETOWN CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA ELDER MD (OWNER)
(270) 639-9440
Entity
Organization
Contact information
Practice address
1871 US HIGHWAY 41A S, DIXON, KY 42409-9448
(270) 639-9440
(270) 664-2698
Mailing address
1871 US HIGHWAY 41A S, DIXON, KY 42409-9448
(270) 639-9440
(270) 664-2698
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3004657
KY
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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