Organization
CUSTOM CARE COMPANION
Active
Parent organization
CUSTOM CARE HOME HEALTH SERVICES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CUSTOM CARE HOME HEALTH SERVICES INC
Authorized official
MISS KIESHA CHARLTON (M)
(916) 714-1155
Entity
Organization
Contact information
Practice address
9826 BOND RD # B, ELK GROVE, CA 95624-9419
(916) 704-3933
(916) 714-1165
Mailing address
2373 PO BOX, ELK GROVE, CA 95759
(916) 714-1155
(916) 714-1165
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
1400015060
CA
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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