Healthcare Provider Details

I. General information

NPI: 1427340884
Provider Name (Legal Business Name): ROYAL HEALTHCARE SERVICES, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2011
Last Update Date: 05/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

357 MAIN ST SUITE B2
LAUREL MD
20707-4154
US

IV. Provider business mailing address

357 MAIN ST SUITE B2
LAUREL MD
20707-4154
US

V. Phone/Fax

Practice location:
  • Phone: 301-497-4520
  • Fax: 301-497-4521
Mailing address:
  • Phone: 301-497-4520
  • Fax: 301-497-4521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberH511434
License Number StateMD

VIII. Authorized Official

Name: MRS. EVELYN OGBUE
Title or Position: DON
Credential:
Phone: 240-338-7793