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Organization

CUSTOM HOME CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CHRISTY PRINZ RN, MSN (PRESIDENT)
(773) 561-4663
Entity
Organization

Contact information

Practice address
4754 N LINCOLN AVE, 2ND FLOOR, CHICAGO, IL 60625-2010
(773) 561-4663
(773) 561-2756
Mailing address
2859 CENTRAL ST, EVANSTON, IL 60201-1234
(773) 561-4663
(773) 561-2756

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1675283
IL

Other

Enumeration date
09/25/2006
Last updated
08/22/2020
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