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Organization
360CARE LLC
Active
Organization
360CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY AMMON (MANAGER)
(502) 244-2440
Entity
Organization
Contact information
Practice address
12910 SHELBYVILLE RD STE 300, LOUISVILLE, KY 40243-2404
(502) 244-2441
(502) 996-8282
Mailing address
12910 SHELBYVILLE RD STE 128, LOUISVILLE, KY 40243-1536
(502) 244-2441
(502) 996-8282
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—
231H00000X
Audiologist
—
NULL
231H00000X
Audiologist
—
—
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/12/2019
Last updated
02/05/2020
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