Provider Demographics
NPI:1730804832
Name:DYNAMIC DAY HEALTH CENTER, LLC
Entity type:Organization
Organization Name:DYNAMIC DAY HEALTH CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:YASMINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-707-3916
Mailing Address - Street 1:5920 CLEVELAND AVE STE B
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-6800
Mailing Address - Country:US
Mailing Address - Phone:614-344-7535
Mailing Address - Fax:614-344-0711
Practice Address - Street 1:5920 CLEVELAND AVE STE B
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-6800
Practice Address - Country:US
Practice Address - Phone:614-344-7535
Practice Address - Fax:614-344-0711
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health