Healthcare Provider Details

I. General information

NPI: 1588521561
Provider Name (Legal Business Name): D-ROYAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 CICELY WAY
TYRONE GA
30290-2960
US

IV. Provider business mailing address

275 CICELY WAY
TYRONE GA
30290-2960
US

V. Phone/Fax

Practice location:
  • Phone: 770-896-1840
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER IGIEOBO
Title or Position: RN
Credential:
Phone: 770-896-1840