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Organization
ROYAL CARE INTEGRATED HEALTH LLC
Active
Organization
ROYAL CARE INTEGRATED HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESHAWN WHITE (EXECUTIVE LEADERSHIP)
(614) 806-3075
Entity
Organization
Contact information
Practice address
648 N 5TH AVE, PHOENIX, AZ 85003-1529
(614) 806-3075
Mailing address
5330 W BOWKER ST, LAVEEN, AZ 85339-2467
(614) 806-3075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
251B00000X
Case Management Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
261QD0000X
Dental Clinic/Center
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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