Provider Demographics
NPI:1619550936
Name:ROYAL LIFE
Entity Type:Organization
Organization Name:ROYAL LIFE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEAN-PIERRE
Authorized Official - Middle Name:
Authorized Official - Last Name:FODJOUO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-252-0802
Mailing Address - Street 1:19391 E WYOMING AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80017-5552
Mailing Address - Country:US
Mailing Address - Phone:720-252-0802
Mailing Address - Fax:
Practice Address - Street 1:19391 E WYOMING AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80017-5552
Practice Address - Country:US
Practice Address - Phone:720-252-0802
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-04
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker