Individual
JESSICA LYNN CUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 MILLBROOK RD, HARDWICK, NJ 07825-9613
(973) 903-7607
Mailing address
141 MILLBROOK RD, HARDWICK, NJ 07825-9613
(973) 903-7607
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
385H00000X
Respite Care
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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