360care LLC
Audiologist in Norcross, GA. Organization (NPI-2).
NPI number1851916183
StatusActive
Last updated in NPPESJun 12, 2020
Details
- NPI
- 1851916183
- Entity type
- Organization (NPI-2)
- Legal business name
- 360care LLC
- Organization subpart
- No
- Enumeration date
- Jun 12, 2020
- Certification date
- Jun 12, 2020
- Last updated
- Jun 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 231H00000X | Audiologist | – | – | Yes |
Practice location
40 Technology Pkwy S Ste 300Norcross, GA 30092-2924
Phone 502-244-2420 · Fax 502-996-8282
Mailing address
12910 Shelbyville Rd Ste 300Louisville, KY 40243-2404
Phone 502-244-2420 · Fax 502-996-8282
Authorized official
Joy L Stevens
Director Of Revenue
5022442441
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