# CUSTOM HEARING CARE INC

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

## Provider details

- **NPI number:** 1598899478
- **Authorized official:** STEPHEN WILLIAM GOFF MACCCA (AUDIOLOGIST)
- **Authorized official phone:** (248) 474-8161

## Contact information

- **Practice address:** 25882 ORCHARD LAKE RD, SUITE 103, FARMINGTON HILLS, MI 48336-1292
- **Practice address phone:** (248) 474-8161
- **Practice address fax:** (248) 474-2966
- **Mailing address:** 25882 ORCHARD LAKE RD, SUITE 103, FARMINGTON HILLS, MI 48336-1292
- **Mailing address phone:** (248) 474-8161
- **Mailing address fax:** (248) 474-2966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 1601000305 | MI | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2609400 | — | MI |