Provider Demographics
NPI:1649755943
Name:365 HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:365 HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:KERR
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-632-6365
Mailing Address - Street 1:301 E. CITY AVE SUITE 300
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-1739
Mailing Address - Country:US
Mailing Address - Phone:610-632-6365
Mailing Address - Fax:610-632-7365
Practice Address - Street 1:301 E. CITY AVE SUITE 300
Practice Address - Street 2:
Practice Address - City:BALA CYNWYD
Practice Address - State:PA
Practice Address - Zip Code:19004-1739
Practice Address - Country:US
Practice Address - Phone:610-632-6365
Practice Address - Fax:610-632-7365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-02
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health