MEDICARE: OPEL LINETTE ROYALL

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1376316588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	OPEL LINETTE ROYALL

Provider Business Mailing Address
First Line	:	5342 JAMES PL NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20019-7023
Country	:	US
Telephone Number	:	240-440-6224
Fax Number	:

Provider Business Practice Location Address
First Line	:	2941 NASH PL SE APT 101
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20019-7749
Country	:	US
Telephone Number	:	202-910-5608
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2023
Last Update Date	:	10/31/2023

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Directions to “ OPEL LINETTE ROYALL ” Practice Location

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