Provider Demographics
NPI:1396050308
Name:DINAMIC HEALTH CARE, INC
Entity type:Organization
Organization Name:DINAMIC HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERNICE
Authorized Official - Middle Name:
Authorized Official - Last Name:NELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-983-4623
Mailing Address - Street 1:7826 CALUMET AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-1210
Mailing Address - Country:US
Mailing Address - Phone:708-983-4623
Mailing Address - Fax:708-832-9935
Practice Address - Street 1:7826 CALUMET AVE
Practice Address - Street 2:SUITE C
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-1210
Practice Address - Country:US
Practice Address - Phone:708-983-4623
Practice Address - Fax:708-832-9935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-13
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health