Customcare Cbc, LLC
NPI #1922185677 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1922185677
- Entity Type
- Organization
- Organization Name
- Customcare Cbc, LLC
- Primary Specialty
- Custodial Care Facility
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Oct 14, 2025
Practice Location
- Address
- 7801 E BUSH LAKE RD STE 100
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55439-3111
- Phone
- (952) 914-0269
Authorized Official
- Name
- KENNETH DUARTE
- Title
- CFO
- Phone
- (336) 553-5912
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Health |
| Respite Care |
| Custodial Care Facility |
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