A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Lodging |
177F00000X |
| NPI # | 1356855183 |
| LBN Legal business name | CUSTOM CORPORATES, INC. |
| Authorized official | KEVIN TRAVIS - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 12/01/2017 |
| Last updated | 12/01/2017 - About 9 years ago |
| Identifiers | n/a |
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