# ROYAL LANE HEALTH CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Royal Manor Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073552477
- **Authorized official:** MS. TAMMY F JOHNSON B.S., LNFA (ADMINISTRATOR)
- **Authorized official phone:** (254) 666-2164

## Contact information

- **Practice address:** 9114 ROYAL LN, WACO, TX 76712-8469
- **Practice address phone:** (254) 666-2164
- **Practice address fax:** (254) 666-9330
- **Mailing address:** 9114 ROYAL LN, WACO, TX 76712-8469
- **Mailing address phone:** (254) 666-2164
- **Mailing address fax:** (254) 666-9330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 105589 | TX | Yes |

## Other

- **Enumeration date:** 06/04/2006
- **Last updated:** 07/24/2007