Healthcare Provider Details

I. General information

NPI: 1417190893
Provider Name (Legal Business Name): ROYAL CARE HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/14/2009
Last Update Date: 05/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

113 N OHIO AVE SUITE 311
SIDNEY OH
45365-2786
US

IV. Provider business mailing address

2006 TWIN FLOWER CIR
GROVE CITY OH
43123-8024
US

V. Phone/Fax

Practice location:
  • Phone: 888-752-2808
  • Fax: 614-875-7474
Mailing address:
  • Phone: 614-260-7834
  • Fax: 614-875-7474

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: ROSY U ALAGBE
Title or Position: CEO
Credential: LPN
Phone: 614-260-7834