Organization
HOMETOWN HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN SCOTT KILGORE (PRESIDENT)
(662) 456-4630
Entity
Organization
Contact information
Practice address
797 S GLOSTER ST, TUPELO, MS 38801-4903
(662) 840-5202
(662) 840-5205
Mailing address
797 S GLOSTER ST, TUPELO, MS 38801-4903
(662) 840-5202
(662) 840-5205
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05251835
—
MS
Enumeration date
03/10/2010
Last updated
05/31/2019
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