Provider Demographics
NPI:1710614722
Name:R&S UNITED HEALTH SERVIES LLC
Entity Type:Organization
Organization Name:R&S UNITED HEALTH SERVIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO AND DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYON
Authorized Official - Middle Name:O
Authorized Official - Last Name:BROOMFIELD
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:804-481-1851
Mailing Address - Street 1:917 BEVILLE RD STE B
Mailing Address - Street 2:
Mailing Address - City:SOUTH DAYTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32119-1736
Mailing Address - Country:US
Mailing Address - Phone:804-481-1851
Mailing Address - Fax:888-919-5502
Practice Address - Street 1:917 BEVILLE RD STE B
Practice Address - Street 2:
Practice Address - City:SOUTH DAYTONA
Practice Address - State:FL
Practice Address - Zip Code:32119-1736
Practice Address - Country:US
Practice Address - Phone:804-481-1851
Practice Address - Fax:888-919-5502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-01
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty