Dynamic Family Care Center
Organization Active NPI In Home Supportive Care Agency · Humboldt, TN
NPI 1972906386 · NPPES record last updated Oct 28, 2015
Key facts
- NPI
- 1972906386
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- DYNAMIC FAMILY CARE CENTER
- Practice address
- 1804 E Main St
Humboldt, TN 38343-2922 - Phone
- (731) 784-1373
- Fax
- (731) 784-1375
- NPI assigned
- Sep 30, 2014
- Organization subpart
- No
Authorized official
- Name
- Miss Kimberly Leeshaun Boykin
- Title
- Chief Operating Officer
- Phone
- (731) 343-1682
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
1804 E Main St
Humboldt, TN 38343-2922
Mailing address
1804 E Main St
Humboldt, TN 38343-2922
Phone (731) 784-1373
Other providers in Humboldt, TN
- Jason Dover
- Stephanie Michelle Dowdy
- Emma Stubblefield Dull
- Brianna Dunker
- Warner Benjamin Dunlap
- Executive Level Wellness
- Eye Care Group, PLLC
- Eye Care Group, PLLC
- Alesha Adams Ezelle
- Fast Pace Medical Clinic PLLC
All providers in Humboldt, TN · In Home Supportive Care Agency in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.