| NPI | 1922185677 |
|---|---|
| Doing Business As | CUSTOMCARE |
| Entity Type | Organization |
| Authorized Contact | KENNETH DUARTE CFO 336-553-5912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311Z00000X Custodial Care Facility |
| Additional Taxonomies | 251E00000X Home Health |
| 385H00000X Respite Care | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-06-04 |