Healthcare Provider Details

I. General information

NPI: 1265698526
Provider Name (Legal Business Name): RLS PATIENT CARE SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2008
Last Update Date: 08/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 9TH ST NE
RUSKIN FL
33570-7620
US

IV. Provider business mailing address

510 9TH ST NE
RUSKIN FL
33570-7620
US

V. Phone/Fax

Practice location:
  • Phone: 813-645-8040
  • Fax: 813-645-5736
Mailing address:
  • Phone: 813-645-8040
  • Fax: 813-645-5736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number230630
License Number StateFL

VIII. Authorized Official

Name: MS. RONNETTE LASHAWN ROYAL
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 813-645-8040