Provider Demographics
NPI:1215104096
Name:ROYAL CARE A.C.L.F.
Entity type:Organization
Organization Name:ROYAL CARE A.C.L.F.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:N
Authorized Official - Last Name:RAUCHETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-464-0728
Mailing Address - Street 1:5081 DUNN RD
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34981-4942
Mailing Address - Country:US
Mailing Address - Phone:772-464-0728
Mailing Address - Fax:
Practice Address - Street 1:5081 DUNN RD
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34981-4942
Practice Address - Country:US
Practice Address - Phone:772-464-0728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-12
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL7462310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility