Provider Demographics
NPI:1033810734
Name:DYNAMICS NURSING AGENCY
Entity Type:Organization
Organization Name:DYNAMICS NURSING AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OLUFUNKE
Authorized Official - Middle Name:FLO
Authorized Official - Last Name:AKINWUMIJU-KALEJAIYE
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:443-518-6017
Mailing Address - Street 1:2926 BERWICK AVE
Mailing Address - Street 2:
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-7621
Mailing Address - Country:US
Mailing Address - Phone:443-518-6017
Mailing Address - Fax:443-835-3051
Practice Address - Street 1:5209 YORK RD STE 16
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-4225
Practice Address - Country:US
Practice Address - Phone:443-518-6017
Practice Address - Fax:443-835-3015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-10
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities