Organization
ROYAL LIVING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOLORES JEAN KREBS (ADMINISTRATOR)
(618) 588-7295
Entity
Organization
Contact information
Practice address
200 SOUTH 9TH STREET, NEW BADEN, IL 62265
(618) 588-7295
(618) 588-7290
Mailing address
200 SOUTH 9TH STREET, NEW BADEN, IL 62265
(618) 588-7295
(618) 588-7290
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0039743
—
IL
Enumeration date
09/06/2007
Last updated
09/06/2007
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