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Organization
DYNAMIC VISIONS II, INC
Active
Organization
DYNAMIC VISIONS II, INC
Active
Other names
Dynamic Visions Home Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAIAH BONGAM (CHIEF EXECUTIVE OFFICER)
(240) 505-0379
Entity
Organization
Contact information
Practice address
16000 W NINE MILE RD, SUITE 420, SOUTHFIELD, MI 48075
(313) 884-5580
Mailing address
16000 W NINE MILE RD, SUITE 420, SOUTHFIELD, MI 48075
(313) 884-5580
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MI
Other
Enumeration date
07/04/2006
Last updated
07/21/2022
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