Provider Demographics
NPI:1265698526
Name:RLS PATIENT CARE SERVICES, INC
Entity type:Organization
Organization Name:RLS PATIENT CARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:RONNETTE
Authorized Official - Middle Name:LASHAWN
Authorized Official - Last Name:ROYAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-645-8040
Mailing Address - Street 1:510 9TH ST NE
Mailing Address - Street 2:
Mailing Address - City:RUSKIN
Mailing Address - State:FL
Mailing Address - Zip Code:33570-7620
Mailing Address - Country:US
Mailing Address - Phone:813-645-8040
Mailing Address - Fax:813-645-5736
Practice Address - Street 1:510 9TH ST NE
Practice Address - Street 2:
Practice Address - City:RUSKIN
Practice Address - State:FL
Practice Address - Zip Code:33570-7620
Practice Address - Country:US
Practice Address - Phone:813-645-8040
Practice Address - Fax:813-645-5736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-05
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL230630251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based