360 Support Inc
Organization Active NPI In Home Supportive Care Agency · Washington, DC
NPI 1578021168 · NPPES record last updated Mar 4, 2019
Key facts
- NPI
- 1578021168
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- 360 SUPPORT INC
- Practice address
- 1629 K St NW Ste 300
Washington, DC 20006-1631 - Phone
- (443) 628-7736
- NPI assigned
- Mar 4, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Victor Nwepnsa Gomia, MPA
- Title
- Ceo
- Phone
- (502) 320-3624
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
1629 K St NW Ste 300
Washington, DC 20006-1631
Mailing address
300 Mardella Dr
Camden, DE 19934-4766
Phone (502) 320-3624
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.