Organization
LAVISH ROYALTY HOME CARE
Active
Other names
LAVISH ROYALTY HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
KAEISHA MURDOCK (CEO)
(574) 971-1610
Entity
Organization
Contact information
Practice address
10439 W STATE ROAD 14, FORT WAYNE, IN 46814-9181
(574) 971-1610
Mailing address
10439 W STATE ROAD 14, FORT WAYNE, IN 46814-9181
(574) 971-1610
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/28/2021
Last updated
11/04/2024
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