# CUSTOM CARE HOME HEALTH SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447502026
- **Authorized official:** AUDREY ACOSTA (OWNER/OPERATOR/ADMINISTRATOR)
- **Authorized official phone:** (916) 714-1155

## Contact information

- **Practice address:** 8837 ELK GROVE BLVD STE AANDB, ELK GROVE, CA 95624-1828
- **Practice address phone:** (916) 714-1155
- **Practice address fax:** (916) 714-1165
- **Mailing address:** PO BOX 2792, ELK GROVE, CA 95759-2792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 10/08/2012
- **Last updated:** 01/09/2020