Provider Demographics
NPI:1639957558
Name:ROYAL SILVER WHEELCHAIR TRANSPORTATION LLC
Entity Type:Organization
Organization Name:ROYAL SILVER WHEELCHAIR TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANA
Authorized Official - Middle Name:E
Authorized Official - Last Name:WATTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-836-1781
Mailing Address - Street 1:3320 STEINBECK PL
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33566-0761
Mailing Address - Country:US
Mailing Address - Phone:813-836-1781
Mailing Address - Fax:
Practice Address - Street 1:3320 STEINBECK PL
Practice Address - Street 2:
Practice Address - City:PLANT CITY
Practice Address - State:FL
Practice Address - Zip Code:33566-0761
Practice Address - Country:US
Practice Address - Phone:813-836-1781
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)