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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
1701 OLD MINDEN RD STE 6, BOSSIER CITY, LA 71111-4849
(318) 752-2273
(318) 752-2275
Mailing address
805 BROOK ST STE 402, ROCKY HILL, CT 06067-3450
(314) 447-7500

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
332BC3200X
Customized Equipment (DME)
Primary
TX

Other

Enumeration date
02/20/2007
Last updated
09/27/2025
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