Organization
360CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY L STEVENS (DIRECTOR OF CREDENTIALING)
(502) 244-2441
Entity
Organization
Contact information
Practice address
1703 LAUREL ST, COLUMBIA, SC 29201-2660
(502) 244-2420
(502) 996-8282
Mailing address
12910 SHELBYVILLE RD STE 300, LOUISVILLE, KY 40243-2404
(502) 244-2420
(502) 996-8282
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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