Organization
ROYALTY RENOVATIONS INC DBA
Active
Parent organization
ROYALTY RENOVATIONS INC
Other names
South Himes Group Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROYALTY RENOVATIONS INC
Authorized official
DANE MCCAL JONES (MEDICAID WAIVER PROVIDER-ADMINISTRA)
(813) 909-3710
Entity
Organization
Contact information
Practice address
6803 S HIMES AVE, TAMPA, FL 33611-5129
(813) 909-3710
Mailing address
1521 AVONDALE RIDGE DR, PLANT CITY, FL 33567-3684
(823) 909-3710
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
11/02/2007
Last updated
11/02/2007
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