Provider Demographics
NPI:1225892532
Name:DYNAMIC CARE INC
Entity Type:Organization
Organization Name:DYNAMIC CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:NGUM
Authorized Official - Last Name:NCHOTU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-272-8000
Mailing Address - Street 1:1601 68TH LN N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55430-5800
Mailing Address - Country:US
Mailing Address - Phone:612-272-8000
Mailing Address - Fax:952-674-4459
Practice Address - Street 1:1601 68TH LN N
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55430-5800
Practice Address - Country:US
Practice Address - Phone:612-272-8000
Practice Address - Fax:952-674-4459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health