Organization
CUSTOMCARE HOME HEALTH SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AUDREY ACOSTA RN (OWNER/OPERATOR/ADMINISTRATOR)
(916) 714-1155
Entity
Organization
Contact information
Practice address
8837 ELK GROVE BLVD STE AANDB, ELK GROVE, CA 95624-1828
(916) 714-1155
(916) 405-3434
Mailing address
PO BOX 2792, ELK GROVE, CA 95759-2792
(916) 714-1155
(916) 714-1165
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
100000543
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003055195
—
CA
Enumeration date
02/12/2009
Last updated
01/17/2020
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