# HEALTHCARE 360 PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437780269
- **Authorized official:** JANE LEIGH BRYANT (MANAGER)
- **Authorized official phone:** (681) 318-3477

## Contact information

- **Practice address:** 9016 SENECA TRAIL, RONCEVERTE, WV 24970-8375
- **Practice address phone:** (681) 318-3477
- **Practice address fax:** (681) 318-3479
- **Mailing address:** 9016 SENECA TRAIL, RONCEVERTE, WV 24970-8375
- **Mailing address phone:** (681) 318-3477
- **Mailing address fax:** (681) 318-3479

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/30/2020
- **Last updated:** 11/22/2021