Healthcare Provider Details

I. General information

NPI: 1780229617
Provider Name (Legal Business Name): DYNAMICS NURSING AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2019
Last Update Date: 11/14/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5209 YORK RD STE 16
BALTIMORE MD
21212-4225
US

IV. Provider business mailing address

5209 YORK RD STE 16 P.O.BOX A4
BALTIMORE MD
21212-4225
US

V. Phone/Fax

Practice location:
  • Phone: 443-518-6017
  • Fax: 443-835-3051
Mailing address:
  • Phone: 443-518-6017
  • Fax: 443-538-3051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. OLUFUNKE FLORENCE AKINWUMIJU
Title or Position: ADMINISTRATOR
Credential:
Phone: 443-518-6017