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Organization

DYNAMIC RESIDENTIAL CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
INES KAGERUKA RUSHIMISHA (BUSINESS MANAGER/MEMBER)
(405) 779-9222
Entity
Organization

Contact information

Practice address
23 CANTERBURY RD, CONCORD, NH 03301-5620
(405) 779-9222
Mailing address
PO BOX 1312, CONCORD, NH 03302-1312

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
10/22/2025
Last updated
10/22/2025
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