Organization
DYNAMIC SUPPORTS , LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLUSEYE JEJE MPH (CEO)
(217) 691-8938
Entity
Organization
Contact information
Practice address
9510 SYCAMORE GRV, UPPER MARLBORO, MD 20772-2698
(217) 691-8938
Mailing address
9510 SYCAMORE GRV, UPPER MARLBORO, MD 20772-2698
(217) 691-8938
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
02/14/2022
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