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NPI Code Detail

MEDICARE: ROYAL UNIVERSAL ADULT CARE

MEDICARE: ROYAL UNIVERSAL ADULT CARE
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1275135345
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROYAL UNIVERSAL ADULT CARE
Provider Business Mailing Address
First Line : 8459 PIEDMONT ST
Second Line :
City : DETROIT
State : MI
Zip : 48228-3021
Country : US
Telephone Number : 323-408-6003
Fax Number :
Provider Business Practice Location Address
First Line : 8459 PIEDMONT ST
Second Line :
City : DETROIT
State : MI
Zip : 48228-3021
Country : US
Telephone Number : 323-408-6003
Fax Number :
Authorized Official
Title or Position : AUTHORIZED OFFICIAL
Name : SONJA BRITTON
Credential :
Telephone Number : 323-408-6003
Provider Enumeration Date : 11/12/2020
Last Update Date : 11/12/2020

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Directions to “ROYAL UNIVERSAL ADULT CARE ” Practice Location

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