Healthcare Provider Details

I. General information

NPI: 1558946830
Provider Name (Legal Business Name): ROYAL PALM ADULT DAY CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2021
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1141 ROYAL PALM BEACH BLVD
ROYAL PALM BEACH FL
33411
US

IV. Provider business mailing address

1141 ROYAL PALM BEACH BLVD
ROYAL PALM BEACH FL
33411
US

V. Phone/Fax

Practice location:
  • Phone: 561-484-7707
  • Fax: 561-484-7707
Mailing address:
  • Phone: 561-484-7707
  • Fax: 561-484-7707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MICHEAL VERGARA
Title or Position: OWNER
Credential:
Phone: 561-990-5830