Provider Demographics
NPI:1629488432
Name:ROYALS EHOMECARE
Entity Type:Organization
Organization Name:ROYALS EHOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:ADESIDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-400-7143
Mailing Address - Street 1:2400 MANOR RD
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-5234
Mailing Address - Country:US
Mailing Address - Phone:610-400-7143
Mailing Address - Fax:610-750-9003
Practice Address - Street 1:2400 MANOR RD
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-5234
Practice Address - Country:US
Practice Address - Phone:610-400-7143
Practice Address - Fax:610-750-9003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-01
Last Update Date:2014-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care