Provider Demographics
NPI:1760810881
Name:DYNAMIC TOUCH HOME CARE LLC
Entity Type:Organization
Organization Name:DYNAMIC TOUCH HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:KAREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:AMBROISE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-791-8432
Mailing Address - Street 1:264 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040-1756
Mailing Address - Country:US
Mailing Address - Phone:860-508-4194
Mailing Address - Fax:860-432-8315
Practice Address - Street 1:264 MAIN ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-1756
Practice Address - Country:US
Practice Address - Phone:860-508-4194
Practice Address - Fax:860-432-8315
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-29
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
CT253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care