Provider Demographics
NPI:1265005573
Name:M & W ROYAL STAFFING GROUP
Entity Type:Organization
Organization Name:M & W ROYAL STAFFING GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICE
Authorized Official - Middle Name:M
Authorized Official - Last Name:JACKSON-WEATHERS
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:470-965-3741
Mailing Address - Street 1:4266 LINDSEY DR
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30035-1927
Mailing Address - Country:US
Mailing Address - Phone:470-965-3741
Mailing Address - Fax:
Practice Address - Street 1:4266 LINDSEY DR
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30035-1927
Practice Address - Country:US
Practice Address - Phone:470-965-3741
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-23
Last Update Date:2024-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing CareGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty