Organization
CUSTOMCARE
Active
Other names
CustomCare
Organization subpart
No
Provider details
NPI number
Authorized official
ABDULKADIR FARAH (CEO)
(614) 446-7708
Entity
Organization
Contact information
Practice address
5300 WHIRLWIND COVE DR, HILLIARD, OH 43026-8911
(614) 446-7708
Mailing address
5300 WHIRLWIND COVE DR, HILLIARD, OH 43026-8911
(614) 446-7708
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0415872
—
OH
Enumeration date
12/09/2020
Last updated
12/09/2020
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