Provider Demographics
NPI:1184478737
Name:ROYAL HEALTH & WELLNESS LLC
Entity type:Organization
Organization Name:ROYAL HEALTH & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KAPEDJANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOIS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:401-415-9585
Mailing Address - Street 1:154 WATERMAN ST STE 1B
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-3116
Mailing Address - Country:US
Mailing Address - Phone:401-415-9585
Mailing Address - Fax:401-415-9586
Practice Address - Street 1:154 WATERMAN ST STE 1B
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-3116
Practice Address - Country:US
Practice Address - Phone:401-415-9585
Practice Address - Fax:401-415-9586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies