Organization
CUSTOM LIFT TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA SPRUCE (CFO)
(832) 373-5117
Entity
Organization
Contact information
Practice address
15102 SYCAMORE LEAF LN, CYPRESS, TX 77429-7626
(832) 373-5117
Mailing address
15102 SYCAMORE LEAF LN, CYPRESS, TX 77429-7626
(832) 373-5117
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/24/2019
Last updated
12/24/2019
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