Organization
CUSTOM CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON DENISE WARTHEN (OWNER)
(352) 403-8108
Entity
Organization
Contact information
Practice address
6177 IVY HILL LN, BROOKSVILLE, FL 34602-7925
(352) 403-8108
Mailing address
291 PLUMTREE AVE, SPRING HILL, FL 34606-6155
(352) 403-8108
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
6906706
FL
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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