Organization
ROYALTY HOMECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KHADIJA MOHAMED (OWNER)
(502) 291-3620
Entity
Organization
Contact information
Practice address
2621 S 4TH ST, LOUISVILLE, KY 40208-1529
(502) 819-7550
Mailing address
1628 ALBANY AVE, LOUISVILLE, KY 40216-2614
(502) 291-3620
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
332U00000X
Home Delivered Meals
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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