Organization
360 HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LORI RENEE REAMS (PRESIDENT)
(314) 725-0300
Entity
Organization
Contact information
Practice address
1034 S BRENTWOOD BLVD, SUITE 450A, SAINT LOUIS, MO 63117-1223
(314) 725-0300
Mailing address
1043 S. BRENTWOOD BLVD., SUITE 450A, ST. LOUIS, MO 63117-2461
(314) 725-0300
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013345
—
MO
Enumeration date
11/01/2016
Last updated
11/01/2016
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