Healthcare Provider Details

I. General information

NPI: 1750961496
Provider Name (Legal Business Name): ROYAL CARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2021
Last Update Date: 02/15/2024
Certification Date: 02/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

157 CENTER BRIDGE RD
LANCASTER MA
01523-2227
US

IV. Provider business mailing address

157 CENTER BRIDGE RD
LANCASTER MA
01523-2227
US

V. Phone/Fax

Practice location:
  • Phone: 508-494-6805
  • Fax: 978-733-4174
Mailing address:
  • Phone: 508-494-6805
  • Fax: 978-733-4174

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: MRS. ESTHER OMELER MALIVERT
Title or Position: OWNER
Credential:
Phone: 508-494-6805