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Organization
ROYALTEE IN-HOME SERVICE, LLCV
Active
Organization
ROYALTEE IN-HOME SERVICE, LLCV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSIE M BERRY (OWNER SINGLE MEMBER)
(601) 776-3230
Entity
Organization
Contact information
Practice address
111 W CHURCH ST, QUITMAN, MS 39355-2134
(601) 776-3230
(601) 776-3231
Mailing address
111 W CHURCH ST, QUITMAN, MS 39355-2134
(601) 776-3230
(601) 776-3231
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770490
—
MS
05
—
04821746
—
MS
Enumeration date
12/19/2006
Last updated
05/10/2017
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