Provider Demographics
NPI:1619646064
Name:DUNAMIS HEALTHCARE SYSTEMS,LLC
Entity Type:Organization
Organization Name:DUNAMIS HEALTHCARE SYSTEMS,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ZOANETTE
Authorized Official - Middle Name:PATILDA
Authorized Official - Last Name:KAICORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-999-4217
Mailing Address - Street 1:6111 VERDE DR
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76549-6884
Mailing Address - Country:US
Mailing Address - Phone:612-999-4217
Mailing Address - Fax:
Practice Address - Street 1:6111 VERDE DR
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76549-6884
Practice Address - Country:US
Practice Address - Phone:612-999-4217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-09
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health