Organization
CUSTOM CARE SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA A KJER (MANAGING MEMBER)
(360) 753-7224
Entity
Organization
Contact information
Practice address
204 QUINCE ST NE, SUITE 100, OLYMPIA, WA 98506-4009
(360) 753-7224
(360) 705-2413
Mailing address
PO BOX 1965, OLYMPIA, WA 98507-1965
(360) 753-7224
(360) 705-2413
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8989CU
REGENCE BLUE SHIELD
WA
05
—
9057852
—
WA
Enumeration date
09/28/2006
Last updated
10/22/2009
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