# ROYAL GRACE DME LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588333884
- **Authorized official:** YOLANDA JAY (OWNER)
- **Authorized official phone:** (754) 779-7499

## Contact information

- **Practice address:** 4101 N ANDREWS AVE STE 303, OAKLAND PARK, FL 33309-4776
- **Practice address phone:** (754) 779-7499
- **Mailing address:** PO BOX 101808, FORT LAUDERDALE, FL 33310-1808
- **Mailing address phone:** (754) 779-7499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 09/09/2021
- **Last updated:** 09/09/2021