Organization
HOMETOWN HEALTHCARE SOLUTION, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN ELAINE GRAHAM DNP APRN FNP BC (PROVIDER)
(918) 319-5021
Entity
Organization
Contact information
Practice address
811 W MAIN ST, HENRYETTA, OK 74437-4249
(918) 319-5021
Mailing address
402 N KINGS RD, HENRYETTA, OK 74437-3809
(918) 319-5021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QR1300X
Rural Health Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/10/2022
Last updated
04/16/2025
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