Provider Demographics
NPI:1831463066
Name:ROYALE CARE
Entity Type:Organization
Organization Name:ROYALE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO-ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:N
Authorized Official - Last Name:NDILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-736-8346
Mailing Address - Street 1:330 SW CUTOFF
Mailing Address - Street 2:SUITE 103
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01604-2730
Mailing Address - Country:US
Mailing Address - Phone:508-926-8848
Mailing Address - Fax:508-926-8858
Practice Address - Street 1:330 SW CUTOFF
Practice Address - Street 2:SUITE103
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01604-2730
Practice Address - Country:US
Practice Address - Phone:508-926-8848
Practice Address - Fax:508-926-8858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-06
Last Update Date:2014-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
No251E00000XAgenciesHome Health