Organization
A DYNASTY HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIMETRIUS FLETCHER (OWNER)
(803) 960-3163
Entity
Organization
Contact information
Practice address
136 WESTPORT DR, COLUMBIA, SC 29223-7122
(803) 960-3163
Mailing address
136 WESTPORT DR, COLUMBIA, SC 29223-7122
(803) 960-3163
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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