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Contact Information

CUSTOM LIVING CARE
3949 KINGFISHER DR
ATLANTA, GA30349-1990
 Phone: 122-934-4696
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for CUSTOM LIVING CARE

NPI # 1235724535
LBN Legal business name CUSTOM LIVING CARE
Authorized official KRISTINA HOWELL - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/08/2021
Last updated 08/07/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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