Provider Demographics
NPI:1740085059
Name:ROYULTY BY DEZIGN LLC
Entity type:Organization
Organization Name:ROYULTY BY DEZIGN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING AND CODING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:TANAEA
Authorized Official - Middle Name:E
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-400-3544
Mailing Address - Street 1:15411 W WADDELL RD # 1326
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85379-5170
Mailing Address - Country:US
Mailing Address - Phone:480-400-3825
Mailing Address - Fax:
Practice Address - Street 1:15411 W WADDELL RD # 1326
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85379-5170
Practice Address - Country:US
Practice Address - Phone:480-400-3544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-19
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care