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Organization

DYNAMIC HEALTHCARE LLC

Active
Other names
Dynamic healthcare LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LARZIE R JOHNSON ASA/BA (FOUNDER/CEO)
(707) 832-4277
Entity
Organization

Contact information

Practice address
408 7TH ST STE D-2, EUREKA, CA 95501-6805
(707) 832-4277
(707) 832-4176
Mailing address
408 7TH ST STE D-2, EUREKA, CA 95501-6805
(707) 832-4277
(707) 832-4176

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
251E00000X
MEDICARE NPI
Enumeration date
03/23/2012
Last updated
03/23/2012
About Stedi
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Product
  • Claims
  • Eligibility checks
  • EDI platform