Organization
ROYAL HEALTHCARE OF AVON PARK,LLC.
Active
Other names
Royal Care of Avon Park
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA HALL COLEMAN (BUSINESS OFFICE MANAGER)
(863) 453-6674
Entity
Organization
Contact information
Practice address
1213 W STRATFORD RD, AVON PARK, FL 33825-8091
(863) 453-6674
(863) 453-9473
Mailing address
1213 W STRATFORD RD, AVON PARK, FL 33825-8091
(863) 453-6674
(863) 453-9473
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
SNF12290951
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L7B
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/14/2006
Last updated
08/22/2020
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