Hometown Medical LLC
Durable Medical Equipment & Medical Supplies in Vicksburg, MS. Organization (NPI-2).
NPI number1255437844
StatusActive
Last updated in NPPESJul 22, 2022
Details
- NPI
- 1255437844
- Entity type
- Organization (NPI-2)
- Legal business name
- Hometown Medical LLC
- Organization subpart
- No
- Enumeration date
- Sep 15, 2006
- Certification date
- Jul 22, 2022
- Last updated
- Jul 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – | Yes |
Practice location
814 Belmont StreetVicksburg, MS 39180
Phone 601-634-6363 · Fax 601-634-6380
Mailing address
1019 Town DrHighland Heights, KY 41076-9114
Authorized official
Gregory J Crawford
Ceo
8594418876
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