Organization
360 SUPPORTS LLC
Active
Organization
360 SUPPORTS LLC
Active
Other names
360 Supports LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR GOMIA (PROGRAM DIRECTOR)
(703) 509-8778
Entity
Organization
Contact information
Practice address
6911 RICHMOND HWY STE 245, ALEXANDRIA, VA 22306-1844
(703) 509-8778
(202) 240-3090
Mailing address
768 ESTATES DR, CAMDEN WYOMING, DE 19934-4611
(703) 509-8778
(202) 240-3090
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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