Organization
ROYAL HOME SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA LARA PEREZ (PROGRAM ADMINISTRATOR)
(361) 462-6651
Entity
Organization
Contact information
Practice address
5309 TARTAN CIR, CORPUS CHRISTI, TX 78413-4608
(361) 462-6651
(866) 803-4222
Mailing address
5309 TARTAN CIR, CORPUS CHRISTI, TX 78413-4608
(866) 803-4222
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
05/20/2013
Last updated
05/20/2013
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