Healthcare Provider Details

I. General information

NPI: 1487323234
Provider Name (Legal Business Name): ROYAL SPECIAL CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2021
Last Update Date: 09/07/2021
Certification Date: 09/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 KENT RD
UPPER DARBY PA
19082-4205
US

IV. Provider business mailing address

214 KENT RD
UPPER DARBY PA
19082-4205
US

V. Phone/Fax

Practice location:
  • Phone: 610-352-2950
  • Fax:
Mailing address:
  • Phone: 610-352-2950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: TUBMAN POPEH
Title or Position: OWNER
Credential:
Phone: 610-352-2950