Provider Demographics
NPI:1457351959
Name:L & L VILLA ROYALE
Entity Type:Organization
Organization Name:L & L VILLA ROYALE
Other - Org Name:LANCIA VILLA ROYALE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GUIRINO
Authorized Official - Middle Name:G
Authorized Official - Last Name:LANCIA
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:740-264-7101
Mailing Address - Street 1:1852 SINCLAIR AVE
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43953-3328
Mailing Address - Country:US
Mailing Address - Phone:740-264-7101
Mailing Address - Fax:740-266-3164
Practice Address - Street 1:1852 SINCLAIR AVE
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43953-3328
Practice Address - Country:US
Practice Address - Phone:740-264-7101
Practice Address - Fax:740-266-3164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-26
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2670314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0184947Medicaid
OH365531Medicare Oscar/Certification