Organization
SC CUSTOM, LLC
Active
Other names
SC Custom Care, SC Custom Respite Care
Organization subpart
No
Provider details
NPI number
Authorized official
SHERI CLAIR (RESPITE MANAGER)
(303) 910-5993
Entity
Organization
Contact information
Practice address
2977 W 119TH AVE UNIT 203, WESTMINSTER, CO 80234-2494
(303) 910-5993
Mailing address
2977 W 119TH AVE UNIT 203, WESTMINSTER, CO 80234-2494
(303) 910-5993
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
04/07/2022
Last updated
03/02/2023
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