Custom Healthcare INC
NPI #1114930138 in Baton Rouge, Louisiana
Provider Information
- NPI Number
- 1114930138
- Entity Type
- Organization
- Organization Name
- Custom Healthcare INC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Customized Equipment
- Enumeration Date
- Aug 14, 2006
- Last Updated
- Dec 29, 2024
Practice Location
- Address
- 11725 INDUSTRIPLEX BLVD
- Address 2
- UNIT 4
- City
- Baton Rouge
- State
- Louisiana
- ZIP Code
- 70809-5190
- Phone
- (225) 753-7007
Authorized Official
- Name
- SONIA LEE VILLESCAS
- Title
- SR MGR LICENSING & CREDENTIALING
- Phone
- (956) 917-7690
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment |
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