Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Customized Equipment |
332BC3200X | 87 | All Other Suppliers | |
Durable Medical Equipment & Medical Supplies |
332B00000X | 54 | Other Medical Supply Company | |
Prosthetic/Orthotic Supplier |
335E00000X | 51 | Medical Supply Company with Orthotist |
| NPI # | 1285109645 |
| LBN Legal business name | CUSTOM HEALTHCARE, LLC |
| Authorized official | JAMES ROGERS - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 10/11/2018 |
| Last updated | 03/08/2019 - About 7 years ago |
| Identifiers | n/a |
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CUSTOM HEALTHCARE, LLC
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