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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