Provider Demographics
NPI:1821678335
Name:JULIA ROYAL HAND THAT CARE INC
Entity Type:Organization
Organization Name:JULIA ROYAL HAND THAT CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:NICHOLSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:321-208-5094
Mailing Address - Street 1:4680 LIPSCOMB ST NE STE 6A
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32905-2928
Mailing Address - Country:US
Mailing Address - Phone:321-208-5094
Mailing Address - Fax:321-327-8227
Practice Address - Street 1:4680 LIPSCOMB ST NE STE 6A
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32905-2928
Practice Address - Country:US
Practice Address - Phone:321-208-5094
Practice Address - Fax:321-327-8227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-09
Last Update Date:2021-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care