Organization Name: | HOME TOWN HEALTH CARE LLC |
NPI Number: | 1386824126 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DEBRA RAE SHINKLE (ADMINISTRATOR/OWNER) |
Mailing Address: | 314 N 7th St Fredonia |
State: | KS US |
Postal Code: | 667361337 |
Phone Number: | 6203783760 |
Fax Number: | 6203783765 |
NPI Enumeration Date: | 11/09/2007 |
NPI Last Update Date: | 07/17/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |