Organization
CUSTOM QUALITY SERVICES, INC.
Active
Organization
CUSTOM QUALITY SERVICES, INC.
Active
Other names
Custom Manufacturing, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP REID BERRY BA (PRESIDENT AND CEO)
(502) 772-7383
Entity
Organization
Contact information
Practice address
3401 JEWELL AVE, LOUISVILLE, KY 40212-2139
(502) 772-7383
(502) 772-7387
Mailing address
3401 JEWELL AVE, LOUISVILLE, KY 40212-2139
(502) 772-7383
(502) 772-7387
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/13/2008
Last updated
11/13/2008
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