Organization
CUSTOM HEALTHCARE, LLC
Active
Other names
PPS Orthotic & Prosthetic Services
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES C ROGERS (CEO)
(423) 697-0057
Entity
Organization
Contact information
Practice address
806 ULRICH AVE, LOUISVILLE, KY 40219-1846
(423) 697-0057
(423) 648-9366
Mailing address
3700 BRAINERD RD, CHATTANOOGA, TN 37411-3603
(423) 697-0057
(423) 648-9366
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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