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General NPI Number Information
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NPI Number | 1366482689
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Entity Type | Organization
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Legal Business Name | ROYAL MANOR HEALTH CENTER INC.
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 9114 ROYAL LANE
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City | WACO
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State | TX
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Zip | 76712
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Country | US
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Telephone | 254-666-2164
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Fax |
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Provider Business Mailing Address
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Address Line | 9114 ROYAL LANE
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City | WACO
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State | TX
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Zip | 76712
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Country | US
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Telephone | 254-666-2164
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DOUGLAS HOWERTON
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Credential |
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Telephone | 254-666-2164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 332BP3500X
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | TX
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