Organization
DYNASTY HOME CARE
Active
Other names
Dynasty Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
LEKISHA B WHITE (CO OWNER)
(864) 363-3374
Entity
Organization
Contact information
Practice address
210 W STONE AVE, SUITE LR5, GREENVILLE, SC 29609-5452
(864) 248-6334
Mailing address
210 W STONE AVE, SUITE LR5, GREENVILLE, SC 29609-5452
(864) 248-6334
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
IHCP-0666
SC
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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