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NPI Code Detail

MEDICARE: ROYAL MANOR HEALTH CARE, INC.

MEDICARE: ROYAL MANOR HEALTH CARE, 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
1314000000XSkilled Nursing Facility100000084CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700887452
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROYAL MANOR HEALTH CARE, INC.
Provider Business Mailing Address
First Line : 5901 LEMON HILL AVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95824-3231
Country : US
Telephone Number : 916-383-2741
Fax Number : 916-383-0243
Provider Business Practice Location Address
First Line : 5901 LEMON HILL AVE
Second Line :
City : SACRAMENTO
State : CA
Zip : 95824-3231
Country : US
Telephone Number : 916-383-2741
Fax Number : 916-383-0243
Authorized Official
Title or Position : PRESIDENT
Name : MR. TERRY BANE
Credential :
Telephone Number : 530-897-5100
Provider Enumeration Date : 08/03/2005
Last Update Date : 11/20/2013

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Directions to “ROYAL MANOR HEALTH CARE, INC. ” Practice Location

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