MEDICARE: ROYAL HEALTH CARE INC

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	251E00000X	Home Health Agency	30211038	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205097094
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROYAL HEALTH CARE INC

Provider Business Mailing Address
First Line	:	8400 N UNIVERSITY DR STE 213
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33321-1713
Country	:	US
Telephone Number	:	954-721-2428
Fax Number	:	954-721-2183

Provider Business Practice Location Address
First Line	:	8400 N UNIVERSITY DR STE 213
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33321-1713
Country	:	US
Telephone Number	:	954-721-2428
Fax Number	:	954-721-2183

Authorized Official
Title or Position	:	ADMINSTRATOR
Name	:	MRS. YVONNE MAUD COOKE
Credential	:
Telephone Number	:	954-683-0249

Provider Enumeration Date	:	06/24/2008
Last Update Date	:	06/24/2008

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Directions to “ROYAL HEALTH CARE INC ” Practice Location

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