Organization
LAVISH ROYALTY HOME HEALTH CARE LLC
Active
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
(260) 755-3423
Mailing address
10439 W STATE ROAD 14, FORT WAYNE, IN 46814-9181
(574) 971-1610
(260) 755-3423
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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