Healthcare Provider Details

I. General information

NPI: 1780098798
Provider Name (Legal Business Name): ROYAL NURSING SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2014
Last Update Date: 06/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3510 SUGAR MILL RD
NEW IBERIA LA
70563-8621
US

IV. Provider business mailing address

3510 SUGAR MILL RD LOT A
NEW IBERIA LA
70563-8621
US

V. Phone/Fax

Practice location:
  • Phone: 337-523-3215
  • Fax: 337-367-3927
Mailing address:
  • Phone: 337-523-3215
  • Fax: 337-367-3927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number75549
License Number StateLA

VIII. Authorized Official

Name: MRS. GLADYS GREENE ROY
Title or Position: CEO
Credential: RN
Phone: 337-523-3215