Organization
ROYAL HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NARDOS TESFAYE GIZAW (REGISTERED NURSE)
(414) 758-4507
Entity
Organization
Contact information
Practice address
2323 S 109TH ST STE 200, WEST ALLIS, WI 53227-1911
(414) 241-6454
Mailing address
2323 S 109TH ST STE 200, WEST ALLIS, WI 53227-1911
(414) 241-6454
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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