# CUSTOM CARELINK, L.L.C.

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

## Provider details

- **NPI number:** 1912279282
- **Authorized official:** LORY FISH (MEMBER)
- **Authorized official phone:** (269) 344-9888

## Contact information

- **Practice address:** 2300 PORTAGE ST., APT. 127, KALAMAZOO, MI 49001
- **Practice address phone:** (269) 344-9888
- **Mailing address:** PO BOX 3223, KALAMAZOO, MI 49003-3223
- **Mailing address phone:** (269) 344-9888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/02/2012
- **Last updated:** 02/02/2012