MEDICARE: THE DYNAMIC HUMANITARIANS SOCIETY

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	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1760812408
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE DYNAMIC HUMANITARIANS SOCIETY

Provider Business Mailing Address
First Line	:	1525 GRAND AVENUE PKWY
Second Line	:	8205
City	:	PFLUGERVILLE
State	:	TX
Zip	:	78660-4959
Country	:	US
Telephone Number	:	512-810-3516
Fax Number	:

Provider Business Practice Location Address
First Line	:	1525 GRAND AVENUE PKWY
Second Line	:	8205
City	:	PFLUGERVILLE
State	:	TX
Zip	:	78660-4959
Country	:	US
Telephone Number	:	512-810-3516
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	MS. NSIKAKABASI TAYLOR
Credential	:
Telephone Number	:	512-810-3516

Provider Enumeration Date	:	11/15/2013
Last Update Date	:	11/15/2013

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