Organization
CUSTOM CARELINK, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORY FISH (MEMBER)
(269) 344-9888
Entity
Organization
Contact information
Practice address
2300 PORTAGE ST., APT. 127, KALAMAZOO, MI 49001
(269) 344-9888
Mailing address
PO BOX 3223, KALAMAZOO, MI 49003-3223
(269) 344-9888
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/02/2012
Last updated
02/02/2012
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