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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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