Organization
DYNAMIC HOME CARE
Active
Organization
DYNAMIC HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANISHA L JORDAN LICENSED AFC HOME PR (EXECUTIVE DIRECTOR)
(248) 514-0975
Entity
Organization
Contact information
Practice address
30431 VENTURA ST, SOUTHFIELD, MI 48076-1215
(248) 514-0975
Mailing address
28475 GREENFIELD RD # 110, SOUTHFIELD, MI 48076-3034
(248) 514-0975
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/27/2026
Last updated
08/27/2026
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