Healthcare Provider Details

I. General information

NPI: 1164339024
Provider Name (Legal Business Name): DYNAMIC HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 E MAIN ST
SALISBURY MD
21801-4922
US

IV. Provider business mailing address

516 S CONKLING ST
BALTIMORE MD
21224-4201
US

V. Phone/Fax

Practice location:
  • Phone: 410-572-4151
  • Fax: 410-864-8051
Mailing address:
  • Phone: 410-864-8874
  • Fax: 410-864-8051

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. OLUKAYODE MICHAEL AKINNUOYE
Title or Position: COO
Credential:
Phone: 410-864-8874