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NPI Code Detail

MEDICARE: ROYAL HEALTHCARE INC.

MEDICARE: ROYAL HEALTHCARE 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
1251E00000XHome Health AgencyH20847MN

General Provider Information

NPI Number : 1629252804
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROYAL HEALTHCARE INC.
Provider Business Mailing Address
First Line : 5637 BROOKLYN BLVD.
Second Line : SUITE 300
City : BROOKLYN CENTER
State : MN
Zip : 55429
Country : US
Telephone Number : 763-504-4559
Fax Number : 763-504-1185
Provider Business Practice Location Address
First Line : 5637 BROOKLYN BLVD.
Second Line : SUITE 300
City : BROOKLYN CENTER
State : MN
Zip : 55429
Country : US
Telephone Number : 763-504-4559
Fax Number : 763-504-1185
Authorized Official
Title or Position : ADMINISTRATOR
Name : MR. ROY BELFREY
Credential :
Telephone Number : 763-592-5767
Provider Enumeration Date : 12/24/2007
Last Update Date : 12/24/2007

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Directions to “ROYAL HEALTHCARE INC. ” Practice Location

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