Provider Demographics
NPI:1386312171
Name:JULIA'S ROYAL STAFFING NETWORK
Entity type:Organization
Organization Name:JULIA'S ROYAL STAFFING NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:NICHOLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-914-6941
Mailing Address - Street 1:4680 LIPSCOMB ST NE STE 6A
Mailing Address - Street 2:
Mailing Address - City:PALM BAY
Mailing Address - State:FL
Mailing Address - Zip Code:32905-2928
Mailing Address - Country:US
Mailing Address - Phone:321-914-6941
Mailing Address - Fax:
Practice Address - Street 1:4680 LIPSCOMB ST NE STE 6A
Practice Address - Street 2:
Practice Address - City:PALM BAY
Practice Address - State:FL
Practice Address - Zip Code:32905-2928
Practice Address - Country:US
Practice Address - Phone:321-914-6941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:JULIA ROYAL HAND THAT CARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-09-06
Last Update Date:2021-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric