Hometown Freedom Healthcare, LLC

NPI #1093447021 in Riverton, Wyoming

Provider Information

NPI Number: 1093447021
Entity Type: Organization
Organization Name: Hometown Freedom Healthcare, LLC
Primary Specialty: Family Medicine
Enumeration Date: Jun 28, 2022
Last Updated: Aug 30, 2023

Practice Location

Address: 705 E WASHINGTON AVE
City: Riverton
State: Wyoming
ZIP Code: 82501-4452
Phone: (307) 463-0541

Authorized Official

Name: ENEDINA VASCO, C-NP
Title: EMPLOYEE, OWNER
Phone: (307) 463-0541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Clinic/Center - Primary Care — Primary Care	261QP2300X
Family Medicine	207Q00000X	Primary

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