Provider Demographics
NPI:1760789127
Name:DYNAMIC SENIOR SOLUTIONS
Entity Type:Organization
Organization Name:DYNAMIC SENIOR SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:SABO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:937-429-4220
Mailing Address - Street 1:3044 DAYTON XENIA RD
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45434-6308
Mailing Address - Country:US
Mailing Address - Phone:937-429-4220
Mailing Address - Fax:937-429-4406
Practice Address - Street 1:3044 DAYTON XENIA RD
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45434-6308
Practice Address - Country:US
Practice Address - Phone:937-429-4220
Practice Address - Fax:937-429-4406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-22
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health