| NPI | 1053839811 |
|---|---|
| Doing Business As | CUSTOM FAMILY CARE |
| Entity Type | Organization |
| Authorized Contact | IVAN PIVOVAROV President 256-325-0480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2021-06-02 |