MEDICARE: DYNAMIC SENIOR SOLUTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1760789127
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DYNAMIC SENIOR SOLUTIONS

Provider Business Mailing Address
First Line	:	3044 DAYTON XENIA RD
Second Line	:
City	:	BEAVERCREEK
State	:	OH
Zip	:	45434-6308
Country	:	US
Telephone Number	:	937-429-4220
Fax Number	:	937-429-4406

Provider Business Practice Location Address
First Line	:	3044 DAYTON XENIA RD
Second Line	:
City	:	BEAVERCREEK
State	:	OH
Zip	:	45434-6308
Country	:	US
Telephone Number	:	937-429-4220
Fax Number	:	937-429-4406

Authorized Official
Title or Position	:	FOUNDER/OWNER
Name	:	MRS. PAULA JANE SABO
Credential	:	RN
Telephone Number	:	937-429-4220

Provider Enumeration Date	:	02/22/2011
Last Update Date	:	02/22/2011

Similar Medicare Providers

1013004514 — BEAVERCREEK CHIROPRACTIC & INJURY TREATMENT CTR., INC.
Practice Location Address:

3060 DAYTON XENIA RD , SUITE A
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1881781490 — DR. DEREK ROBERT BLACK D.C.
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1588998132 — DOOLEY CHIROPRACTIC LLC
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1467308106 — TAYLOR N STEINBRUNNER DPT, PT
Practice Location Address:

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1972505337 — BEAVERCREEK TOWNSHIP
Practice Location Address:

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1972598902 — DR. DAVID A STANCZYK DMD
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