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Organization
DYNAMIC HOME HEALTH CARE, INC
Active
Organization
DYNAMIC HOME HEALTH CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ILYA IVANOV RN, EMT (ADMINISTRATOR)
(215) 870-3441
Entity
Organization
Contact information
Practice address
550 STATE RD, SUITE 104, BENSALEM, PA 19020-8702
(215) 244-4466
Mailing address
550 STATE RD, SUITE 104, BENSALEM, PA 19020-8702
(215) 244-4466
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
03750501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102455620 0001
—
PA
Enumeration date
09/14/2009
Last updated
06/25/2010
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