Provider Demographics
NPI:1316700784
Name:DYNAMICS NURSING AGENCY
Entity type:Organization
Organization Name:DYNAMICS NURSING AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:OLUFUNKE
Authorized Official - Middle Name:FLORENCE
Authorized Official - Last Name:AKINWUMIJU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-518-6017
Mailing Address - Street 1:5209 YORK ROAD
Mailing Address - Street 2:SUITE16 P.O BOX A4
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212
Mailing Address - Country:US
Mailing Address - Phone:443-518-6017
Mailing Address - Fax:443-538-3051
Practice Address - Street 1:5209 YORK RD STE 16
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-4225
Practice Address - Country:US
Practice Address - Phone:443-518-6017
Practice Address - Fax:443-538-3051
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DYNAMICS NURSING AGENCY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care