MEDICARE: ROYAL CARE AGENCY 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	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1750961496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROYAL CARE AGENCY LLC

Provider Business Mailing Address
First Line	:	157 CENTER BRIDGE RD
Second Line	:
City	:	LANCASTER
State	:	MA
Zip	:	01523-2227
Country	:	US
Telephone Number	:	508-494-6805
Fax Number	:	978-733-4174

Provider Business Practice Location Address
First Line	:	157 CENTER BRIDGE RD
Second Line	:
City	:	LANCASTER
State	:	MA
Zip	:	01523-2227
Country	:	US
Telephone Number	:	508-494-6805
Fax Number	:	978-733-4174

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. ESTHER OMELER MALIVERT
Credential	:
Telephone Number	:	508-494-6805

Provider Enumeration Date	:	04/08/2021
Last Update Date	:	02/15/2024

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