Provider Demographics
NPI:1033780549
Name:ROYALHANDS237 HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:ROYALHANDS237 HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CNA
Authorized Official - Prefix:MISS
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:M
Authorized Official - Last Name:DRAKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-957-8644
Mailing Address - Street 1:6056 DAN DR
Mailing Address - Street 2:
Mailing Address - City:ELLENWOOD
Mailing Address - State:GA
Mailing Address - Zip Code:30294-4087
Mailing Address - Country:US
Mailing Address - Phone:404-957-8644
Mailing Address - Fax:
Practice Address - Street 1:6056 DAN DR
Practice Address - Street 2:
Practice Address - City:ELLENWOOD
Practice Address - State:GA
Practice Address - Zip Code:30294-4087
Practice Address - Country:US
Practice Address - Phone:404-957-8644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-06
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SH0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHome HealthGroup - Single Specialty