| 360 Case Management Llc | |
|
35 Varden Dr Ste A Aiken SC 29803-5275 | |
| (803) 226-0236 | |
| (803) 226-0335 |
| Full Name | 360 Case Management Llc |
|---|---|
| Speciality | Case Management |
| Location | 35 Varden Dr Ste A, Aiken, South Carolina |
| Authorized Official Name and Position | Juanethea Bryant-lord (OWNER) |
| Authorized Official Contact | 8032260236 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 360 Case Management Llc 35 Varden Dr Ste A Aiken SC 29803-5275 Ph: (803) 226-0236 | 360 Case Management Llc 35 Varden Dr Ste A Aiken SC 29803-5275 Ph: (803) 226-0236 |
| NPI Number | 1497387179 |
|---|---|
| Provider Enumeration Date | 02/10/2020 |
| Last Update Date | 03/16/2024 |
| Certification Date | 03/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497387179 | NPI | - | NPPES |
| EX1856 | Medicaid | SC | |
| 003227886B | Medicaid | GA | |
| 003230056A | Medicaid | GA | |
| 003227886A | Medicaid | GA |
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