Provider Demographics
NPI:1821359621
Name:DYNAMIC HEALTH CARE SERVICES LLC
Entity Type:Organization
Organization Name:DYNAMIC HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSELINE
Authorized Official - Middle Name:NGOZI
Authorized Official - Last Name:OKAI
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:240-723-1305
Mailing Address - Street 1:1629 K ST NW
Mailing Address - Street 2:300
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-1602
Mailing Address - Country:US
Mailing Address - Phone:202-699-7771
Mailing Address - Fax:
Practice Address - Street 1:1629 K ST NW
Practice Address - Street 2:300
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20006-1602
Practice Address - Country:US
Practice Address - Phone:202-600-7771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC25251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health