Organization
CUSTOMIZED COMPANION CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTEN ELAINE ROSE RECREATIONAL THERAPI (PRESIDENT)
(864) 679-2601
Entity
Organization
Contact information
Practice address
1302 RUTHERFORD RD, GREENVILLE, SC 29609-3100
(864) 679-2601
(864) 679-2602
Mailing address
1302 RUTHERFORD RD, GREENVILLE, SC 29609-3100
(864) 679-2601
(864) 679-2602
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/13/2006
Last updated
08/22/2020
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