Custom Care of Ellsworth, INC

NPI #1780600221 in Russell, Kansas

Provider Information

NPI Number
1780600221
Entity Type
Organization
Organization Name
Custom Care of Ellsworth, INC
Primary Specialty
Home Health
Enumeration Date
Jul 15, 2006
Last Updated
May 31, 2018

Practice Location

Address
802 N MAPLE ST
State
Kansas
ZIP Code
67665-1937
Phone
(785) 445-3500

Authorized Official

Name
MRS. ANGELA W EDDINS
Title
PRESIDENT
Phone
(785) 445-3500

Specialties & Taxonomy Codes

Specialty
Home Health

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