Customcare Cbc, LLC
NPI #1912709973 in West St Paul, Minnesota
Provider Information
- NPI Number
- 1912709973
- Entity Type
- Organization
- Organization Name
- Customcare Cbc, LLC
- Primary Specialty
- Home Health
- Enumeration Date
- Mar 27, 2025
- Last Updated
- Oct 18, 2025
Practice Location
- Address
- 1540 HUMBOLDT AVE STE 101
- City
- West St Paul
- State
- Minnesota
- ZIP Code
- 55118-3489
- Phone
- (651) 352-9910
Authorized Official
- Name
- KENNETH DUARTE
- Title
- CFO
- Phone
- (336) 553-5912
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
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