Organization
ROYALRESPITE
Active
Parent organization
000000
Other names
ROYALRESPITE, WELLNESSHOPPE, Wellness Shoppe, MOBILEMOGUL
Organization subpart
Yes
Provider details
NPI number
Legal business name
000000
Authorized official
DORIS V WALEKR CDCP (OWNER)
(262) 504-0241
Entity
Organization
Contact information
Practice address
255 N MEMORIAL DR, RACINE, WI 53404-3428
(262) 504-0241
Mailing address
255 N MEMORIAL DR, RACINE, WI 53404-3428
(262) 504-0241
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
106S00000X
Behavior Technician
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
163WH1000X
Hospice Registered Nurse
—
—
2278E0002X
Emergency Care Certified Respiratory Therapist
—
—
251E00000X
Home Health Agency
—
—
251T00000X
PACE Provider Organization
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QG0250X
Genetics Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
311ZA0620X
Adult Care Home Facility
—
—
385H00000X
Respite Care
—
—
385HR2050X
Respite Care Camp
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
08/01/2024
Last updated
09/13/2024
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