Dynamic Care Home in Fayetteville - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Dynamic Care Home - NPI 1275755639
Dynamic Care Home is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Fayetteville, North Carolina. Dynamic Care Home practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Dynamic Care Home is 1275755639. The last update date is 2007-12-27.
Dynamic Care Home's current location address is Po Box 504, Fayetteville, North Carolina. You can contact this provider via phone number 9104836416 and fax number 9104835924. The mailing address for Dynamic Care Home is Po Box 504, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dynamic Care Home |
|---|---|
| Address | Po Box 504, Fayetteville, North Carolina |
| Phone Number | 9104836416 |
| Fax Number | 9104835924 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Turner M Shearldena |
| Telephone Number | 9104836416 |
NPI Number Detail
| NPI Number | 1275755639 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2007-12-27 |
Provider Mailing Address Detail
| Address | Po Box 504 |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283020504 |
| Phone Number | 9104836416 |
| Fax Number | 9104835924 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
| Licence No | MHL-026-558 |
|
Definition: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6603198 | NC | -- |
Post Comment/ Review Below
What is the Dynamic Care Home's unique identification number?
The Dynamic Care Home has been assigned the NPI (National Provider Identifier) Number 1275755639 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Dynamic Care Home is physically located?
The Dynamic Care Home is situated at the following address: Po Box 504, Fayetteville, NC 283020504.
What is Dynamic Care Home's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dynamic Care Home's specialized field of practice is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1275755639 to Dynamic Care Home?
The Dynamic Care Home received its 1275755639 assignment from the Centers for Medicare & Medicaid Services on 2007-05-03.
When was the information regarding Dynamic Care Home most recently updated?
The details pertaining to the Dynamic Care Home, including its address, specialty, and other relevant information, were last refreshed on 2007-12-27.