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Organization
ROYALTY CARE
Active
Organization
ROYALTY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT OBINALI ONYEJIAKA (PROVIDER)
(615) 500-5649
Entity
Organization
Contact information
Practice address
3560 WHEATSTONE AVE APT D31, BOWLING GREEN, KY 42104-5609
(615) 500-5649
Mailing address
3560 WHEATSTONE AVE APT D31, BOWLING GREEN, KY 42104-5609
(615) 500-5649
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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