Organization
360 SUPPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR NWEPNSA GOMIA MPA (CEO)
(502) 320-3624
Entity
Organization
Contact information
Practice address
1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
(443) 628-7736
Mailing address
300 MARDELLA DR, CAMDEN, DE 19934-4766
(502) 320-3624
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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