Provider Demographics
NPI:1407026396
Name:DYNAMIC HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:DYNAMIC HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NOSHABA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHSIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-760-4281
Mailing Address - Street 1:701 WOODWARD HTS STE 110
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:MI
Mailing Address - Zip Code:48220-1430
Mailing Address - Country:US
Mailing Address - Phone:248-760-4281
Mailing Address - Fax:248-624-9081
Practice Address - Street 1:701 WOODWARD HTS STE 110
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:MI
Practice Address - Zip Code:48220-1430
Practice Address - Country:US
Practice Address - Phone:248-760-4281
Practice Address - Fax:248-624-9081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health