Organization
360 HOME CARE SERVICES LLC
Active
Organization
360 HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA D GORHAM (OWNER/CEO)
(317) 360-2421
Entity
Organization
Contact information
Practice address
5335 N TACOMA AVE STE 13, INDIANAPOLIS, IN 46220-3648
(317) 360-2421
Mailing address
11653 STOEPPELWERTH DR, INDIANAPOLIS, IN 46229-4244
(317) 360-2421
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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