Organization · NPI-2
360 Prime Care
Reflexologist · Shelby Township, MI
NPI number1417527656
StatusActive
Last updated in NPPESJun 29, 2021
Details
- NPI
- 1417527656
- Entity type
- Organization (NPI-2)
- Legal business name
- 360 Prime Care
- Organization subpart
- No
- Enumeration date
- Jun 29, 2021
- Certification date
- Jun 29, 2021
- Last updated
- Jun 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 173C00000X | Reflexologist | – | – | Yes |
Practice location
47028 Ben Franklin DrShelby Township, MI 48315-4604
Phone 586-484-8891 · Fax 586-323-1130
Mailing address
47028 Ben Franklin DrShelby Township, MI 48315-4604
Phone 586-484-8891 · Fax 586-323-1130
Authorized official
Lance Thomason
Manager
5864848891
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