Organization
360 HOMECARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE CAMPBELL (SECRATARY)
(480) 749-2006
Entity
Organization
Contact information
Practice address
12378 W LOCUST LN, AVONDALE, AZ 85323-1239
(480) 290-4943
Mailing address
12378 W LOCUST LN, AVONDALE, AZ 85323-1239
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/09/2024
Last updated
12/09/2024
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