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Organization
CUSTOMCARE CBC, LLC
Active
Organization
CUSTOMCARE CBC, LLC
Active
Other names
Amivie
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH DUARTE (CFO)
(336) 553-5912
Entity
Organization
Contact information
Practice address
2233 UNIVERSITY AVE W, SUITE 225, ST. PAUL, MN 55114-1696
(651) 377-1122
(888) 688-3674
Mailing address
4000 PARAMOUNT PKWY STE 100, MORRISVILLE, NC 27560-4702
(919) 390-2980
(919) 390-1888
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
04/19/2025
Last updated
10/23/2025
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