Organization
DYNASTY CARE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE PRICE CM, BHRS (PRESIDENT)
(405) 406-7216
Entity
Organization
Contact information
Practice address
4337 SE 15TH ST, DEL CITY, OK 73115-3001
(405) 609-1760
(405) 609-1769
Mailing address
4337 SE 15TH ST, DEL CITY, OK 73115-3001
(405) 609-1760
(405) 609-1769
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
11/08/2011
Last updated
11/19/2012
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