Organization
DYNAMIC FAMILY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KIMBERLY LEESHAUN BOYKIN (CHIEF OPERATING OFFICER)
(731) 343-1682
Entity
Organization
Contact information
Practice address
1804 E MAIN ST, HUMBOLDT, TN 38343-2922
(731) 784-1373
(731) 784-1375
Mailing address
1804 E MAIN ST, HUMBOLDT, TN 38343-2922
(731) 784-1373
(731) 784-1375
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
09/30/2014
Last updated
10/28/2015
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