MEDICARE: ROYAL CARE ADULT DAYCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1043091721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROYAL CARE ADULT DAYCARE LLC

Provider Business Mailing Address
First Line	:	9525 SW 40TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-4035
Country	:	US
Telephone Number	:	305-299-7062
Fax Number	:

Provider Business Practice Location Address
First Line	:	9525 SW 40TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33165-4035
Country	:	US
Telephone Number	:	305-299-7062
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DAYANA SIRIANNI
Credential	:
Telephone Number	:	305-299-7062

Provider Enumeration Date	:	10/10/2023
Last Update Date	:	10/10/2023

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