# LAVISH ROYALTY HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LAVISH ROYALTY HOME CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326715137
- **Authorized official:** KAEISHA MURDOCK (CEO)
- **Authorized official phone:** (574) 971-1610

## Contact information

- **Practice address:** 10439 W STATE ROAD 14, FORT WAYNE, IN 46814-9181
- **Practice address phone:** (574) 971-1610
- **Mailing address:** 10439 W STATE ROAD 14, FORT WAYNE, IN 46814-9181
- **Mailing address phone:** (574) 971-1610

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/28/2021
- **Last updated:** 11/04/2024