Provider Demographics
NPI:1144767039
Name:DIGNITYCARESERVICES
Entity Type:Organization
Organization Name:DIGNITYCARESERVICES
Other - Org Name:DIGNITYCAREDMV
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-413-3374
Mailing Address - Street 1:615 SHERIDAN ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1242
Mailing Address - Country:US
Mailing Address - Phone:202-413-3374
Mailing Address - Fax:
Practice Address - Street 1:615 SHERIDAN ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-1242
Practice Address - Country:US
Practice Address - Phone:202-413-3374
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-30
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities