OrganizationActive
360 Supports LLC
NPI 1851085765 · Developmentally Disabled Services Day Training Agency · Alexandria, VA
Provider details
- NPI number
- 1851085765
- Entity type
- Organization
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Organization subpart
- No
- Authorized official
- Victor Gomia, Program Director(703) 509-8778
Specialties & taxonomies
Agencies
Practice location
6911 Richmond Hwy Ste 245
Alexandria, VA 22306-1844
Phone: (703) 509-8778
Fax: (202) 240-3090
Approximate (ZIP-level) locationGet directions
Mailing address
768 Estates Dr
Camden Wyoming, DE 19934-4611
Other names (DBA / former)
- Former legal business name
- 360 Supports LLC
Registry dates
- Enumerated
- 2023-06-05
- Last updated
- 2023-06-05
- Certified
- 2023-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.