Provider Demographics
NPI:1447611173
Name:DYNAMIKS HOME CARE INC
Entity Type:Organization
Organization Name:DYNAMIKS HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:FELVINA
Authorized Official - Middle Name:
Authorized Official - Last Name:RENNA
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:321-610-8765
Mailing Address - Street 1:4501 N WICKHAM RD STE 104
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-7100
Mailing Address - Country:US
Mailing Address - Phone:321-610-8765
Mailing Address - Fax:561-952-4665
Practice Address - Street 1:4501 N WICKHAM RD STE 104
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-7100
Practice Address - Country:US
Practice Address - Phone:321-610-8765
Practice Address - Fax:888-429-6515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-08
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health