Organization
RESTORATIVE CUSTOM HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE PATRICK RN (OWNER)
(210) 639-8191
Entity
Organization
Contact information
Practice address
2808 LOST LAKES WAY, POWDER SPRINGS, GA 30127-6031
(210) 639-8092
Mailing address
2808 LOST LAKES WAY, POWDER SPRINGS, GA 30127-6031
(210) 639-8191
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
01/23/2023
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