Organization · NPI-2

360 Case Management LLC

Case Management · Aiken, SC

NPI number1497387179
StatusActive
Last updated in NPPESMar 16, 2024

Details

NPI
1497387179
Entity type
Organization (NPI-2)
Legal business name
360 Case Management LLC
Organization subpart
No
Enumeration date
Feb 10, 2020
Certification date
Mar 16, 2024
Last updated
Mar 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case Management––Yes
104100000X Social Worker––
133NN1002X Nutritionist, Nutrition, Education––
163WC0400X Registered Nurse, Case Management––
171400000X Health & Wellness Coach––
171M00000X Case Manager/Care Coordinator––
225700000X Massage Therapist––

Practice location

35 Varden Dr Ste A
Aiken, SC 29803-5275

Phone 803-226-0236 · Fax 803-226-0335

Mailing address

35 Varden Dr Ste A
Aiken, SC 29803-5275

Phone 803-226-0236 · Fax 803-226-0335

Authorized official

Juanethea Bryant-Lord
Owner
8032260236

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