Provider Demographics
NPI:1649330283
Name:ROY DUNCAN PERSONAL CARE HOME
Entity type:Organization
Organization Name:ROY DUNCAN PERSONAL CARE HOME
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROY
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:830-709-3241
Mailing Address - Street 1:312 W COUNTY ROAD 5719
Mailing Address - Street 2:
Mailing Address - City:DEVINE
Mailing Address - State:TX
Mailing Address - Zip Code:78016-4030
Mailing Address - Country:US
Mailing Address - Phone:830-709-3241
Mailing Address - Fax:830-709-3241
Practice Address - Street 1:312 W COUNTY ROAD 5719
Practice Address - Street 2:
Practice Address - City:DEVINE
Practice Address - State:TX
Practice Address - Zip Code:78016-4030
Practice Address - Country:US
Practice Address - Phone:830-709-3241
Practice Address - Fax:830-709-3241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118998310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility