Provider Demographics
NPI:1023612736
Name:ROYAL EAGLE SENIOR HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:ROYAL EAGLE SENIOR HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:
Authorized Official - Last Name:INYANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:848-228-0842
Mailing Address - Street 1:100 HORIZON CENTER BLVD STE 211
Mailing Address - Street 2:
Mailing Address - City:ROBBINSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08691-1910
Mailing Address - Country:US
Mailing Address - Phone:848-228-0842
Mailing Address - Fax:
Practice Address - Street 1:100 HORIZON CENTER BLVD STE 211
Practice Address - Street 2:
Practice Address - City:ROBBINSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08691-1910
Practice Address - Country:US
Practice Address - Phone:848-228-0842
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-23
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care