Organization
ROYLATY HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KESIA NICOLE GRAY (PRESIDENT)
(601) 813-1513
Entity
Organization
Contact information
Practice address
443 W OAK ST, FOREST, MS 39074-4119
(601) 813-1513
Mailing address
443 W OAK ST, FOREST, MS 39074-4119
(601) 813-1513
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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