Organization
ADVANCE CARE DME & MEDICAL SUPPLIES, LLC
Active
Parent organization
ROYAL ALLIANCE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROYAL ALLIANCE, LLC
Authorized official
MR. DOUGLAS BANKS (OWNER/MANAGING MEMBER)
(601) 826-3735
Entity
Organization
Contact information
Practice address
199 CHARMANT PL STE 2, RIDGELAND, MS 39157-4358
(601) 605-2380
Mailing address
199 CHARMANT PL STE 2, RIDGELAND, MS 39157-4358
(601) 605-2380
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800242756
LISCENCE
MS
Enumeration date
05/09/2015
Last updated
04/11/2017
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