Organization
HOMETOWN HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSEI GRINGO (OWNER)
(480) 231-3974
Entity
Organization
Contact information
Practice address
3001 N MAIN ST STE 1B, PRESCOTT VALLEY, AZ 86314-1215
(480) 231-3974
Mailing address
3001 N MAIN ST STE 1B, PRESCOTT VALLEY, AZ 86314-1215
(480) 231-3974
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/14/2022
Last updated
02/14/2022
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