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Organization
DYNAMIC SOLUTION PROVIDER HEALTH CARE, LLC
Active
Organization
DYNAMIC SOLUTION PROVIDER HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELKANAH TSCHONG MUKOI (PROGRAM MANAGER)
(240) 463-4219
Entity
Organization
Contact information
Practice address
2041 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7024
(240) 463-4219
Mailing address
2041 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7024
(240) 463-4219
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
251G00000X
Community Based Hospice Care Agency
—
NULL
Other
Enumeration date
11/26/2021
Last updated
11/26/2021
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