Organization
HOMETOWN MEDICAL SUPPLIES LLC
Active
Other names
Hometown Medical Supplies, Reliable Medical
Organization subpart
No
Provider details
NPI number
Authorized official
KILEY ANN RUSSELL (SENIOR DIRECTOR OF PAYOR RELATIONS)
(629) 252-8211
Entity
Organization
Contact information
Practice address
4873 WEST LN STE C, STOCKTON, CA 95210-4548
(209) 472-1136
(209) 472-1138
Mailing address
9495 WINNETKA AVE N STE 200, BROOKLYN PARK, MN 55445-1618
(292) 528-2116
(763) 255-3972
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
12/09/2021
Last updated
06/04/2026
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