MEDICARE: ROYAL CONSULTING ENTERPRISES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1184371924
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROYAL CONSULTING ENTERPRISES LLC

Provider Business Mailing Address
First Line	:	329 W WILLOW CREEK DR
Second Line	:
City	:	GLENN HEIGHTS
State	:	TX
Zip	:	75154-1879
Country	:	US
Telephone Number	:	469-245-7066
Fax Number	:

Provider Business Practice Location Address
First Line	:	329 W WILLOW CREEK DR
Second Line	:
City	:	GLENN HEIGHTS
State	:	TX
Zip	:	75154-1879
Country	:	US
Telephone Number	:	469-245-7066
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	EBONY PERRY
Credential	:
Telephone Number	:	469-245-7066

Provider Enumeration Date	:	03/02/2022
Last Update Date	:	08/14/2025

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