Provider Demographics
NPI:1407918824
Name:DYNAMIC VISIONS, INC
Entity Type:Organization
Organization Name:DYNAMIC VISIONS, INC
Other - Org Name:DYNAMIC VISIONS HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-552-6124
Mailing Address - Street 1:16000 W 9 MILE RD
Mailing Address - Street 2:SUITE 420
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-4808
Mailing Address - Country:US
Mailing Address - Phone:248-552-6124
Mailing Address - Fax:
Practice Address - Street 1:16000 W. NINE MILE RD
Practice Address - Street 2:SUITE 420
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075
Practice Address - Country:US
Practice Address - Phone:248-552-6124
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health