Provider Demographics
NPI:1477574911
Name:ROYAL HOME HEALTH AGENCY SERV. CORP.
Entity Type:Organization
Organization Name:ROYAL HOME HEALTH AGENCY SERV. CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF CO (OWNER)
Authorized Official - Prefix:MS
Authorized Official - First Name:GLADYS
Authorized Official - Middle Name:BARBARA
Authorized Official - Last Name:BULNES
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:305-551-9535
Mailing Address - Street 1:2760 S.W. 97 AVE SUITE# 108
Mailing Address - Street 2:ROYAL HOME HEALTH AGENCY SERVICE CORP
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165
Mailing Address - Country:US
Mailing Address - Phone:305-551-9535
Mailing Address - Fax:305-551-8850
Practice Address - Street 1:2760 S.W. 97 AVE SUITE# 108
Practice Address - Street 2:ROYAL HOME HEALTH AGENCY SERVICE CORP
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33165
Practice Address - Country:US
Practice Address - Phone:305-551-9535
Practice Address - Fax:305-551-8850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health