Provider Demographics
NPI:1750961496
Name:ROYAL CARE AGENCY LLC
Entity type:Organization
Organization Name:ROYAL CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:OMELER
Authorized Official - Last Name:MALIVERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-494-6805
Mailing Address - Street 1:157 CENTER BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:MA
Mailing Address - Zip Code:01523-2227
Mailing Address - Country:US
Mailing Address - Phone:508-494-6805
Mailing Address - Fax:978-733-4174
Practice Address - Street 1:157 CENTER BRIDGE RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:MA
Practice Address - Zip Code:01523-2227
Practice Address - Country:US
Practice Address - Phone:508-494-6805
Practice Address - Fax:978-733-4174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-08
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care