Provider Demographics
NPI:1699666594
Name:DYNAMIC INSPIRATION ASSISTED LIVING LLC
Entity type:Organization
Organization Name:DYNAMIC INSPIRATION ASSISTED LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER
Authorized Official - Prefix:MS
Authorized Official - First Name:AMEKA
Authorized Official - Middle Name:MONETTE
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-679-2973
Mailing Address - Street 1:9004 PALMER ST
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-3638
Mailing Address - Country:US
Mailing Address - Phone:202-679-2973
Mailing Address - Fax:240-788-7966
Practice Address - Street 1:9004 PALMER ST
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:MD
Practice Address - Zip Code:20744-3638
Practice Address - Country:US
Practice Address - Phone:202-679-2973
Practice Address - Fax:240-788-7966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-10
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility