| NPI | 1861744617 |
|---|---|
| Doing Business As | CUSTOM CARE HOME HEALTH |
| Entity Type | Organization |
| Authorized Contact | LEE JOHNSON Treasurer 208-401-1369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2020-01-31 |