| Organization Name: | HOMETOWN MEDICAL SUPPLIES LLC |
| NPI Number: | 1528358520 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JERRY L PENNINGTON (GENERAL MANAGER) |
| Mailing Address: | 86 Medical Ln Whitley City |
| State: | KY US |
| Postal Code: | 426531180 |
| Phone Number: | 6063761551 |
| Fax Number: | 6063764444 |
| NPI Enumeration Date: | 04/11/2011 |
| NPI Last Update Date: | 04/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |