Provider Demographics
NPI:1275397424
Name:ROYAL CARE
Entity Type:Organization
Organization Name:ROYAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:MEYONKA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNOLD WEST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-452-8611
Mailing Address - Street 1:1100 GIDDINGS WAY
Mailing Address - Street 2:11207
Mailing Address - City:LADSON
Mailing Address - State:SC
Mailing Address - Zip Code:29456
Mailing Address - Country:US
Mailing Address - Phone:843-452-8611
Mailing Address - Fax:
Practice Address - Street 1:1100 GIDDINGS WAY
Practice Address - Street 2:11207
Practice Address - City:LADSON
Practice Address - State:SC
Practice Address - Zip Code:29456
Practice Address - Country:US
Practice Address - Phone:843-452-8611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health