Organization
HOMETOWN MEDICAL & EQUIPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY J. KNOWLES (OWNER)
(660) 947-4348
Entity
Organization
Contact information
Practice address
1903 MAIN ST, UNIONVILLE, MO 63565-1352
(660) 947-4348
(660) 947-4347
Mailing address
1903 MAIN ST, UNIONVILLE, MO 63565-1352
(660) 947-4348
(660) 947-4347
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
605423300
—
MO
05
—
625423306
—
MO
Enumeration date
11/16/2005
Last updated
07/23/2009
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