Organization
CUSTOMCARE CBC, LLC
Active
Other names
Amivie
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH DUARTE (CFO)
(336) 553-5912
Entity
Organization
Contact information
Practice address
1540 HUMBOLDT AVE STE 101, WEST ST PAUL, MN 55118-3489
(651) 352-9910
(651) 305-1150
Mailing address
4000 PARAMOUNT PKWY STE 100, MORRISVILLE, NC 27560-4702
(919) 390-2980
(919) 390-1888
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
10/18/2025
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