IndividualActive
Fayne Custis
NPI 1215696323 · Day Training/Habilitation Specialist · Greencastle, IN
Provider details
- NPI number
- 1215696323
- Entity type
- Individual
- Primary specialty
- Day Training/Habilitation SpecialistNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
2 E Berry St
Greencastle, IN 46135-1901
Phone: (765) 655-4737
Approximate (ZIP-level) locationGet directions
Mailing address
2 E Berry St
Greencastle, IN 46135-1901
Registry dates
- Enumerated
- 2021-12-16
- Last updated
- 2021-12-16
- Certified
- 2021-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.