Organization
DYNAMIC VISIONS II, INC
Active
Other names
Dynamic Visions Home Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ISAIAH BONGAM (CHIEF EXECUTIVE OFFICER)
(240) 505-0379
Entity
Organization
Contact information
Practice address
16000 W NINE MILE RD, SUITE 420, SOUTHFIELD, MI 48075
(313) 884-5580
Mailing address
16000 W NINE MILE RD, SUITE 420, SOUTHFIELD, MI 48075
(313) 884-5580
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MI
Other
Enumeration date
07/04/2006
Last updated
07/21/2022
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