Organization Name: | HOMETOWN HEALTHCARE LLC |
NPI Number: | 1538486790 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILL D THOMPSON (PRESIDENT) |
Mailing Address: | 205 N Commerce St Dilley |
State: | TX US |
Postal Code: | 780173500 |
Phone Number: | 8309654466 |
Fax Number: | 8309654467 |
NPI Enumeration Date: | 04/28/2010 |
NPI Last Update Date: | 04/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | PA04256 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |