Organization
DYNAMIC LIFESKILLS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SYLVESTER OKUMU OLUOCH (PRESIDENT)
(573) 529-9590
Entity
Organization
Contact information
Practice address
1516 SYLVAN LN, 201, COLUMBIA, MO 65202-2482
(573) 529-9590
Mailing address
1516 SYLVAN LN, 201, COLUMBIA, MO 65202-2482
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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