Organization
HOMETOWN CONNECT INC
Active
Other names
Hometown Healthcare of Columbia
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO LAVELLE BOOKER PHARMD (CHIEF CLINICAL OFFICER)
(502) 599-0264
Entity
Organization
Contact information
Practice address
301 BURKESVILLE ST, COLUMBIA, KY 42728-1921
(270) 789-4663
Mailing address
301 BURKESVILLE ST, COLUMBIA, KY 42728-1921
(270) 789-4663
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Enumeration date
02/11/2026
Last updated
02/16/2026
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