MEDICARE: ROYAL QUALITY NURSING SERVICES 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	251F00000X	Home Infusion Agency	2011600470	DE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	110026348	OTHER	DE	HOME INFUSION THERAPY

General Provider Information

NPI Number	:	1912320326
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROYAL QUALITY NURSING SERVICES INC.

Provider Business Mailing Address
First Line	:	223 RIVEREDGE DR
Second Line	:	RIVEREDGE ESTATES
City	:	NEW CASTLE
State	:	DE
Zip	:	19720-8704
Country	:	US
Telephone Number	:	302-325-3110
Fax Number	:	302-325-3114

Provider Business Practice Location Address
First Line	:	223 RIVEREDGE DR
Second Line	:	RIVEREDGE ESTATES
City	:	NEW CASTLE
State	:	DE
Zip	:	19720-8704
Country	:	US
Telephone Number	:	302-325-3110
Fax Number	:	302-325-3114

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	THELMA AMINU
Credential	:	CRNI
Telephone Number	:	302-325-3110

Provider Enumeration Date	:	01/22/2014
Last Update Date	:	01/22/2014

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