Organization · NPI-2

Dynamic Solution Provider Health Care, LLC

Home Health · Washington, DC

NPI number1891452777
StatusActive
Last updated in NPPESNov 26, 2021

Details

NPI
1891452777
Entity type
Organization (NPI-2)
Legal business name
Dynamic Solution Provider Health Care, LLC
Organization subpart
No
Enumeration date
Nov 26, 2021
Certification date
Nov 26, 2021
Last updated
Nov 26, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251E00000X Home Health––Yes
251G00000X Hospice Care, Community Based––

Practice location

2041 Martin Luther King Jr Ave Se
Washington, DC 20020-7024

Phone 240-463-4219

Mailing address

2041 Martin Luther King Jr Ave Se
Washington, DC 20020-7024

Phone 240-463-4219

Authorized official

Elkanah Tschong Mukoi
Program Manager
2404634219

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Home Health providers in Washington, DC