# DYNAMIC HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dynamic healthcare LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629344601
- **Authorized official:** MR. LARZIE R JOHNSON ASA/BA (FOUNDER/CEO)
- **Authorized official phone:** (707) 832-4277

## Contact information

- **Practice address:** 408 7TH ST STE D-2, EUREKA, CA 95501-6805
- **Practice address phone:** (707) 832-4277
- **Practice address fax:** (707) 832-4176
- **Mailing address:** 408 7TH ST STE D-2, EUREKA, CA 95501-6805
- **Mailing address phone:** (707) 832-4277
- **Mailing address fax:** (707) 832-4176

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | CA | Yes |

## Other

- **Enumeration date:** 03/23/2012
- **Last updated:** 03/23/2012