Organization
ROYAL QUEENS CARE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERMITHE VICTOR (CEO)
(614) 432-5812
Entity
Organization
Contact information
Practice address
6625 RETTON RD, REYNOLDSBURG, OH 43068-2849
(614) 432-5812
Mailing address
6625 RETTON RD REYNOLDSBURG, REYNOLDSBURG, OH 43068
(614) 432-5812
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
3939589
OH
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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