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Organization
DYNAMIC INFUSION SOLUTIONS POWERED BY FULL PLATE INDUSTRIES, LLC
Active
Organization
DYNAMIC INFUSION SOLUTIONS POWERED BY FULL PLATE INDUSTRIES, LLC
Active
Other names
Dynamic Infusion Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
KEISHA NICOLE FORD (OWNER)
(678) 469-3718
Entity
Organization
Contact information
Practice address
261 SNOW BIRD DR, HAMPTON, GA 30228-3530
(678) 469-3718
Mailing address
261 SNOW BIRD DR, HAMPTON, GA 30228-3530
(678) 469-3718
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251F00000X
Home Infusion Agency
—
NULL
251J00000X
Nursing Care Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
261QH0100X
Health Service Clinic/Center
—
NULL
261QI0500X
Infusion Therapy Clinic/Center
—
NULL
261QV0200X
VA Clinic/Center
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
3336H0001X
Home Infusion Therapy Pharmacy
—
NULL
Other
Enumeration date
11/09/2023
Last updated
11/09/2023
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