Organization
DYNAMIC HOME CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASIRAT SPEECH (CEO)
(832) 279-0637
Entity
Organization
Contact information
Practice address
823 TURTLE CREEK DR, MISSOURI CITY, TX 77489-5258
(832) 279-0637
Mailing address
823 TURTLE CREEK DR, MISSOURI CITY, TX 77489-5258
(832) 279-0637
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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