Organization
CUSTOM REHAB NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHERINE B CLINEHENS (EXECUTIVE DIRECTOR)
(707) 747-5846
Entity
Organization
Contact information
Practice address
451 ASPINWALL DR, BENICIA, CA 94510-3902
(707) 747-5846
Mailing address
451 ASPINWALL DR, BENICIA, CA 94510-3902
(707) 746-5581
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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