Provider Demographics
NPI:1427340884
Name:ROYAL HEALTHCARE SERVICES, LLC.
Entity type:Organization
Organization Name:ROYAL HEALTHCARE SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON
Authorized Official - Prefix:MRS
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:
Authorized Official - Last Name:OGBUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-338-7793
Mailing Address - Street 1:357 MAIN ST
Mailing Address - Street 2:SUITE B2
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-4154
Mailing Address - Country:US
Mailing Address - Phone:301-497-4520
Mailing Address - Fax:301-497-4521
Practice Address - Street 1:357 MAIN ST
Practice Address - Street 2:SUITE B2
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-4154
Practice Address - Country:US
Practice Address - Phone:301-497-4520
Practice Address - Fax:301-497-4521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-04
Last Update Date:2011-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDH511434251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDH511434OtherHCHS