MEDICARE: AM ROYAL CROWN INC

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1245975655
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AM ROYAL CROWN INC

Provider Business Mailing Address
First Line	:	13250 WESTHEIMER RD APT 201
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-3586
Country	:	US
Telephone Number	:	240-423-5511
Fax Number	:

Provider Business Practice Location Address
First Line	:	13250 WESTHEIMER RD APT 201
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-3586
Country	:	US
Telephone Number	:	240-423-5511
Fax Number	:

Authorized Official
Title or Position	:	CEO/ADMINISTRATOR
Name	:	BOLANLE AKINFAYE
Credential	:	RN
Telephone Number	:	240-423-5511

Provider Enumeration Date	:	04/29/2022
Last Update Date	:	04/29/2022

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