Custer, Mary

Custer, Mary is an sole proprietor health care provider with primary practice located at 25955 Newbury Dr , Westlake OH 44145-3340. She recently has 5 registered licenses in different health care specialties including Nursing Service Related Providers / Homemaker, Respite Care Facility / Respite Care, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities, Respite Care Facility / Respite Care, Physical Disabilities, Child, Nursing Service Related Providers / Home Health Aide. Nursing Service Related Providers / Home Health Aide is her primary health care specialty. Custer, Mary can be contacted via phone (440) 823-9813.

Contact Information

Primary practice address
25955 Newbury Dr Westlake OH 44145-3340
Phone: (440) 823-9813
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X
Respite Care Facility / Respite Care 385H00000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X
Respite Care Facility / Respite Care, Physical Disabilities, Child 385HR2065X
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1366039646
LBN Legal business name Custer, Mary
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2020
Last updated Dec 21st, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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