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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
152W00000X
Optometrist
213E00000X
Podiatrist
231H00000X
Audiologist
363L00000X
Nurse Practitioner

Other

Enumeration date
11/12/2019
Last updated
02/05/2020
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