Organization
PROJECT3SIXTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOCCARA SMITH (CEO)
(678) 201-2494
Entity
Organization
Contact information
Practice address
298 ALCOVY WALK DR, LAWRENCEVILLE, GA 30045-7997
(678) 201-2494
Mailing address
298 ALCOVY WALK DR, LAWRENCEVILLE, GA 30045-7997
(678) 201-2494
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/28/2012
Last updated
01/31/2012
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