Provider Demographics
NPI:1558936724
Name:ROYAL PRESENCE PROFESSIONAL SERVICES, LLC
Entity Type:Organization
Organization Name:ROYAL PRESENCE PROFESSIONAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABENA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASSELL-SWABY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-978-5144
Mailing Address - Street 1:190 SPRING MEADOWS RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:17345-9488
Mailing Address - Country:US
Mailing Address - Phone:717-978-5144
Mailing Address - Fax:717-384-8528
Practice Address - Street 1:190 SPRING MEADOWS RD
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:PA
Practice Address - Zip Code:17345-9488
Practice Address - Country:US
Practice Address - Phone:717-978-5144
Practice Address - Fax:717-384-8528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health