1427340884 NPI number — ROYAL HEALTHCARE SERVICES, LLC.

Table of content: (NPI 1427340884)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1427340884 NPI number — ROYAL HEALTHCARE SERVICES, LLC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROYAL HEALTHCARE SERVICES, LLC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1427340884
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/04/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
357 MAIN ST
Provider Second Line Business Mailing Address:
SUITE B2
Provider Business Mailing Address City Name:
LAUREL
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
20707-4154
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-497-4520
Provider Business Mailing Address Fax Number:
301-497-4521

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
357 MAIN ST
Provider Second Line Business Practice Location Address:
SUITE B2
Provider Business Practice Location Address City Name:
LAUREL
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
20707-4154
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-497-4520
Provider Business Practice Location Address Fax Number:
301-497-4521
Provider Enumeration Date:
05/04/2011

Additional Information

Authorized Official

Authorized Official Last Name:
OGBUE
Authorized Official First Name:
EVELYN
Authorized Official Middle Name:
Authorized Official Title or Position:
DON
Authorized Official Telephone Number:
240-338-7793

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  H511434 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: H511434 . This is a "HCHS" identifier , issued by the state of ( MD ) . This identifiers is of the category "OTHER".




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