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Organization
CUSTOM CARE, LLC
Active
Organization
CUSTOM CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON WARTHEN (OWNER)
(352) 403-8108
Entity
Organization
Contact information
Practice address
291 PLUMTREE AVE, SPRING HILL, FL 34606-6155
(352) 403-8108
Mailing address
6177 IVY HILL LN, BROOKSVILLE, FL 34602-7925
(352) 403-8108
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906706
FL
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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