Provider Demographics
NPI:1568893311
Name:ROYAL CARE MEDICAL SUPPLIES LLC
Entity Type:Organization
Organization Name:ROYAL CARE MEDICAL SUPPLIES LLC
Other - Org Name:ROYAL CARE MEDICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EVANGELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:KINSTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-814-0779
Mailing Address - Street 1:411 US HIGHWAY 9
Mailing Address - Street 2:SUITE 3
Mailing Address - City:LANOKA HARBOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08734-2818
Mailing Address - Country:US
Mailing Address - Phone:732-814-0779
Mailing Address - Fax:
Practice Address - Street 1:411 US HIGHWAY 9
Practice Address - Street 2:SUITE 3
Practice Address - City:LANOKA HARBOR
Practice Address - State:NJ
Practice Address - Zip Code:08734-2818
Practice Address - Country:US
Practice Address - Phone:732-814-0779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-04
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies