| NPI | 1669180089 |
|---|---|
| Doing Business As | DYNAMIC SOLUTION PROVIDER HEALTHCARE |
| Entity Type | Organization |
| Authorized Contact | GERMAINE EGOTAH Program Manager 202-469-9918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2022-11-15 |