Organization
DYNAMIC COMMUNITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRELL L SADDLER (QUALITY ASSURANCE)
(202) 329-4661
Entity
Organization
Contact information
Practice address
1509 BAYTREE TER, BOWIE, MD 20721-2384
(202) 779-4100
Mailing address
1509 BAYTREE TER, BOWIE, MD 20721-2384
(202) 779-4100
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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