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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