Organization
CUSTOM REHAB SOLUTIONS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT CUMBERLAND (OWNER)
(601) 317-5022
Entity
Organization
Contact information
Practice address
517 LIBERTY RD, BLDG 2 SUITE C, FLOWOOD, MS 39232-8028
(601) 664-1090
(601) 664-1091
Mailing address
517 LIBERTY RD, BLDG 2 SUITE C, FLOWOOD, MS 39232-8028
(601) 664-1090
(601) 664-1091
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
06981/11.1
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03175733
—
MS
Enumeration date
05/07/2006
Last updated
08/22/2020
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