Organization
CUSTOM HEALTHCARE INC
Active
Other names
Numotion
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA LEE VILLESCAS (SR MGR LICENSING & CREDENTIALING)
(956) 917-7690
Entity
Organization
Contact information
Practice address
11725 INDUSTRIPLEX BLVD, UNIT 4, BATON ROUGE, LA 70809-5190
(225) 753-7007
(225) 753-7037
Mailing address
805 BROOK ST STE 402, ROCKY HILL, CT 06067-3431
(314) 447-7500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
400538
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1673552
—
LA
Enumeration date
08/14/2006
Last updated
12/29/2024
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