Provider Demographics
NPI:1225746043
Name:ROYALTY HEALTH CARE CORPORATION
Entity Type:Organization
Organization Name:ROYALTY HEALTH CARE CORPORATION
Other - Org Name:ROYALTY HEALTH CARE CORPORATION
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:VICENTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-550-4885
Mailing Address - Street 1:502 BROADWAY
Mailing Address - Street 2:
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44052-1732
Mailing Address - Country:US
Mailing Address - Phone:440-396-3246
Mailing Address - Fax:
Practice Address - Street 1:506 BROADWAY FL 2
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44052-1732
Practice Address - Country:US
Practice Address - Phone:440-550-4885
Practice Address - Fax:440-453-2368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-10
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based