Provider Demographics
NPI:1265640585
Name:ROYAL PALM MANOR, INC.
Entity Type:Organization
Organization Name:ROYAL PALM MANOR, INC.
Other - Org Name:BELL CHRISTIAN HOME ADULT DAY HEALTH CARE CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:SOOHYUN
Authorized Official - Last Name:OH
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:714-379-5101
Mailing Address - Street 1:7571 WYOMING ST
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-3922
Mailing Address - Country:US
Mailing Address - Phone:714-379-5101
Mailing Address - Fax:714-379-5104
Practice Address - Street 1:7571 WYOMING ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CA
Practice Address - Zip Code:92683-3922
Practice Address - Country:US
Practice Address - Phone:714-379-5101
Practice Address - Fax:714-379-5104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care