Phoenix Rehab & Mobility

LBN: Custom Healthcare, Llc
Phoenix Rehab & Mobility is an health care organization with primary practice located at 410 Dromedary St , Woodbury GA 30293-3560. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment. Suppliers / Customized Equipment is the primary health care specialty. Custom Healthcare, Llc can be contacted via phone (770) 450-4227, or through Rogers, James via phone (423) 697-0057.

Contact Information

Primary practice address
410 Dromedary St Woodbury GA 30293-3560
Phone: (770) 450-4227
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rogers, James
Phone: (423) 697-0057

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1366900391
LBN Legal business name Custom Healthcare, Llc
DBA Doing business as Phoenix Rehab & Mobility
Authorized official Rogers, James
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2019
Last updated Mar 8th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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