| Organization Name: | CUSTOM CARE SOLUTIONS,LLC |
| NPI Number: | 1578908612 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MANDY MARIE CALVANO (OWNER) |
| Mailing Address: | 41995 Boardwalk Ste A3 Palm Desert |
| State: | CA US |
| Postal Code: | 922119041 |
| Phone Number: | 7604694633 |
| Fax Number: | 7606637010 |
| NPI Enumeration Date: | 05/02/2013 |
| NPI Last Update Date: | 05/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |