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Fayne Custis
Day Training/Habilitation Specialist in Greencastle, Indiana
NPI 1215696323

Fayne Custis is a Day Training/Habilitation Specialist based in Greencastle, IN. Fayne Custis practices in Greencastle, IN. The NPI Number for Fayne Custis is 1215696323 and holds a License No. (Indiana).

The current practice location address for Fayne Custis is 2 E Berry St, Greencastle, IN and can be reached out via phone at 765-655-4737.

Location: 2 E Berry St, Greencastle, IN, 46135-1901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215696323
Provider Name
Fayne Custis
Credential
Provider Entity Type
Individual
Gender
Male
Address
2 E Berry St, Greencastle, IN, 46135-1901
Phone Number
765-655-4737
Fax Number
Provider Enumeration Date
12/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2 E Berry St
City
Greencastle
State
Indiana
Zip
46135-1901
Phone Number
765-655-4737
Fax Number
person
Provider Business Mailing Address Details
Address
2 E Berry St
City
Greencastle
State
Indiana
Zip
46135-1901
Phone Number
765-655-4737
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
373H00000X
License No.
()
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
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