Provider Demographics
NPI:1467761718
Name:ROYAL PLACE CARE SERVICES, LLC
Entity Type:Organization
Organization Name:ROYAL PLACE CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:I
Authorized Official - Last Name:UMEZURIKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-948-7595
Mailing Address - Street 1:7915 BLUE DUCK TRL
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76002-4435
Mailing Address - Country:US
Mailing Address - Phone:972-948-7595
Mailing Address - Fax:817-375-0719
Practice Address - Street 1:7915 BLUE DUCK TRL
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76002-4435
Practice Address - Country:US
Practice Address - Phone:972-948-7595
Practice Address - Fax:817-375-0719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-05
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health