Organization
CAC ROYAL HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYPRIAN DIKE (MANAGER)
(713) 907-5717
Entity
Organization
Contact information
Practice address
12922 BECKLIN LN, HOUSTON, TX 77099-2241
(713) 907-5717
Mailing address
PO BOX 14286, HOUSTON, TX 77221-4286
(713) 907-5717
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/27/2020
Last updated
06/23/2023
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