Provider Demographics
NPI:1134845415
Name:AROYALHEALTHCARE
Entity type:Organization
Organization Name:AROYALHEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PRINCESS KEARA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HEATH
Authorized Official - Suffix:
Authorized Official - Credentials:CMA
Authorized Official - Phone:478-293-3741
Mailing Address - Street 1:411 WESTCLIFF CIR
Mailing Address - Street 2:
Mailing Address - City:WARNER ROBINS
Mailing Address - State:GA
Mailing Address - Zip Code:31093-3091
Mailing Address - Country:US
Mailing Address - Phone:478-293-3741
Mailing Address - Fax:
Practice Address - Street 1:411 WESTCLIFF CIR
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31093-3091
Practice Address - Country:US
Practice Address - Phone:478-293-3741
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-18
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health