| NPI | 1306480538 |
|---|---|
| Doing Business As | CUSTOM PALLIATIVE CARE |
| Entity Type | Organization |
| Authorized Contact | SEAN FOSSEE CEO 248-629-2880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2021-03-18 |