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Organization
DYNAMIC HOME HEALTHCARE LLC
Active
Organization
DYNAMIC HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODETTE BAGOB (RN)
(507) 319-3489
Entity
Organization
Contact information
Practice address
84 RED CEDAR WAY, FUQUAY VARINA, NC 27526-4538
(240) 614-5324
Mailing address
84 RED CEDAR WAY, FUQUAY VARINA, NC 27526-4538
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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