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Organization
ROYAL LANE HEALTH CENTER, INC
Active
Organization
ROYAL LANE HEALTH CENTER, INC
Active
Other names
Royal Manor Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY F JOHNSON B.S., LNFA (ADMINISTRATOR)
(254) 666-2164
Entity
Organization
Contact information
Practice address
9114 ROYAL LN, WACO, TX 76712-8469
(254) 666-2164
(254) 666-9330
Mailing address
9114 ROYAL LN, WACO, TX 76712-8469
(254) 666-2164
(254) 666-9330
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
105589
TX
Other
Enumeration date
06/04/2006
Last updated
07/24/2007
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