Organization
HOMETOWN MEDICAL SUPPLIES LLC
Active
Parent organization
HOMETOWN MEDICAL SUPPLIES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HOMETOWN MEDICAL SUPPLIES LLC
Authorized official
JERRY L PENNINGTON (GENERAL MANAGER)
(606) 376-1551
Entity
Organization
Contact information
Practice address
86 MEDICAL LN, WHITLEY CITY, KY 42653-1180
(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
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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