Provider Demographics
NPI:1346693991
Name:DYNASTY DEVINE SERVICES INC
Entity Type:Organization
Organization Name:DYNASTY DEVINE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:O
Authorized Official - Last Name:ARUNG
Authorized Official - Suffix:
Authorized Official - Credentials:CCM
Authorized Official - Phone:301-661-1322
Mailing Address - Street 1:1629 K ST NW STE 300
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20006-1631
Mailing Address - Country:US
Mailing Address - Phone:301-661-1322
Mailing Address - Fax:
Practice Address - Street 1:7520 HEARTHSIDE WAY
Practice Address - Street 2:
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-7231
Practice Address - Country:US
Practice Address - Phone:301-661-1322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management