Provider Demographics
NPI:1013574326
Name:ROYAL FAMILY LLC
Entity Type:Organization
Organization Name:ROYAL FAMILY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEISHA
Authorized Official - Middle Name:SHANEE
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-971-9398
Mailing Address - Street 1:8160 E LANTZ ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48234-3303
Mailing Address - Country:US
Mailing Address - Phone:248-971-9398
Mailing Address - Fax:
Practice Address - Street 1:8160 E LANTZ ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48234-3303
Practice Address - Country:US
Practice Address - Phone:248-971-9398
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-22
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health