Provider Demographics
NPI:1033632195
Name:DYNAMIC UNITY CDS LLC
Entity Type:Organization
Organization Name:DYNAMIC UNITY CDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DELSHAY
Authorized Official - Middle Name:FANCHON
Authorized Official - Last Name:PEARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-729-3334
Mailing Address - Street 1:2420 E LINWOOD BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64109-2142
Mailing Address - Country:US
Mailing Address - Phone:816-605-6140
Mailing Address - Fax:816-605-6024
Practice Address - Street 1:2420 E LINWOOD BLVD STE 210
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64109-2142
Practice Address - Country:US
Practice Address - Phone:816-605-6140
Practice Address - Fax:816-605-6024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care