# REGENERATIVE HEALTH 360 LLC

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

## Provider details

- **NPI number:** 1912598707
- **Authorized official:** JEFFREY JONES (CEO)
- **Authorized official phone:** (864) 464-7985

## Contact information

- **Practice address:** 4610 OLEANDER DR STE 102, MYRTLE BEACH, SC 29577-5752
- **Practice address phone:** (843) 945-9803
- **Mailing address:** 1650 SKYLYN DR STE 420, SPARTANBURG, SC 29307-1047
- **Mailing address phone:** (864) 464-7985
- **Mailing address fax:** (864) 308-3825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/03/2021
- **Last updated:** 02/03/2021