Organization
CUSTOMCARE HOSPICE SERVICES, INC
Active
Organization
CUSTOMCARE HOSPICE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY ACOSTA RN (OWNER AND ADMINISTRATOR)
(916) 714-1155
Entity
Organization
Contact information
Practice address
8837 ELK GROVE BLVD STE B, ELK GROVE, CA 95624-1828
(916) 714-1155
(916) 405-3434
Mailing address
PO BOX 2792, ELK GROVE, CA 95759-2792
(916) 714-1155
(916) 714-1165
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Enumeration date
02/26/2019
Last updated
01/17/2020
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