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Organization
SC CUSTOM, LLC
Active
Organization
SC CUSTOM, LLC
Active
Other names
SC Custom Care, SC Custom Respite Care
Organization subpart
No
Provider details
NPI number
Authorized official
SHERI CLAIR (RESPITE MANAGER)
(303) 910-5993
Entity
Organization
Contact information
Practice address
2977 W 119TH AVE UNIT 203, WESTMINSTER, CO 80234-2494
(303) 910-5993
Mailing address
2977 W 119TH AVE UNIT 203, WESTMINSTER, CO 80234-2494
(303) 910-5993
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
385H00000X
Respite Care
—
NULL
385HR2055X
Child Mental Illness Respite Care
—
NULL
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
NULL
385HR2065X
Child Physical Disabilities Respite Care
—
NULL
Other
Enumeration date
04/07/2022
Last updated
03/02/2023
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