# DYNAMIC VISIONS II, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dynamic Visions Home Health Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629008594
- **Authorized official:** MR. ISAIAH BONGAM (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (240) 505-0379

## Contact information

- **Practice address:** 16000 W NINE MILE RD, SUITE 420, SOUTHFIELD, MI 48075
- **Practice address phone:** (313) 884-5580
- **Mailing address:** 16000 W NINE MILE RD, SUITE 420, SOUTHFIELD, MI 48075
- **Mailing address phone:** (313) 884-5580

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | MI | Yes |

## Other

- **Enumeration date:** 07/04/2006
- **Last updated:** 07/21/2022