| NPI | 1841460383 |
|---|---|
| Doing Business As | CUSTOMCARE |
| Entity Type | Organization |
| Authorized Contact | KENNETH DUARTE CFO 336-553-5912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MN 349413) |
| Additional Taxonomies | 251E00000X Home Health (Licence: MN 807970600) |
| 251J00000X Nursing Care | |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2024-06-04 |