Provider Demographics
NPI:1780098798
Name:ROYAL NURSING SERVICES, INC
Entity type:Organization
Organization Name:ROYAL NURSING SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:GLADYS
Authorized Official - Middle Name:GREENE
Authorized Official - Last Name:ROY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:337-523-3215
Mailing Address - Street 1:3510 SUGAR MILL RD LOT A
Mailing Address - Street 2:
Mailing Address - City:NEW IBERIA
Mailing Address - State:LA
Mailing Address - Zip Code:70563-8621
Mailing Address - Country:US
Mailing Address - Phone:337-523-3215
Mailing Address - Fax:337-367-3927
Practice Address - Street 1:3510 SUGAR MILL RD
Practice Address - Street 2:
Practice Address - City:NEW IBERIA
Practice Address - State:LA
Practice Address - Zip Code:70563-8621
Practice Address - Country:US
Practice Address - Phone:337-523-3215
Practice Address - Fax:337-367-3927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-17
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA75549313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1982819389OtherNPI