Organization
CUSTOM CARE CASE MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVA CHANEL HARRIS (CHIEF EXECUTIVE OFFICER)
(281) 818-4780
Entity
Organization
Contact information
Practice address
4800 SUGAR GROVE BLVD STE 308, STAFFORD, TX 77477-2639
(281) 818-4780
(281) 408-4169
Mailing address
2011 KNOLL OAK LN, ROSENBERG, TX 77469-5732
(281) 818-4780
(281) 408-4169
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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