Provider Demographics
NPI:1285993444
Name:ROYAL COURT ASSISTED LIVING FACILITY
Entity type:Organization
Organization Name:ROYAL COURT ASSISTED LIVING FACILITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALITHIA
Authorized Official - Middle Name:BRIGETTA
Authorized Official - Last Name:LEONCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-793-7553
Mailing Address - Street 1:P.O. BOX 210243
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33421
Mailing Address - Country:US
Mailing Address - Phone:561-793-7553
Mailing Address - Fax:561-793-7553
Practice Address - Street 1:113 MEADOW WOODE DR.
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411
Practice Address - Country:US
Practice Address - Phone:561-793-7553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-09
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL11708310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility