Custom Caring, LLC

NPI #1548512726 in Lithonia, Georgia

Provider Information

NPI Number: 1548512726
Entity Type: Organization
Organization Name: Custom Caring, LLC
Primary Specialty: In Home Supportive Care
Enumeration Date: Oct 11, 2012
Last Updated: Oct 11, 2012

Practice Location

Address: 2304 PAR THREE WAY
City: Lithonia
State: Georgia
ZIP Code: 30038-1801
Phone: (678) 396-0578

Authorized Official

Name: MR. JAMES D WIDEMAN
Title: MANAGING MEMBER
Phone: (678) 396-0578

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X
Home Health	251E00000X
Nursing Care	251J00000X
In Home Supportive Care	253Z00000X	Primary

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