Organization
CUSTOM HEALTHCARE INC
Active
Other names
Numotion
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA LEE VILLESCAS (SR MGR LICENSING & CREDENTIALING)
(314) 447-7515
Entity
Organization
Contact information
Practice address
1011 N 7TH ST, STE 2, WEST MONROE, LA 71291-4215
(318) 410-9222
(318) 410-1889
Mailing address
805 BROOK ST STE 402, ROCKY HILL, CT 06067-3431
(314) 447-7500
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
06 00002371
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209556716
—
AR
05
—
2407171
—
LA
Enumeration date
08/14/2006
Last updated
03/06/2025
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