Organization
ROYAL CORAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OMOZEE UWAIFO (MANAGER)
(702) 987-1168
Entity
Organization
Contact information
Practice address
10170 W TROPICANA AVE # 156-184, LAS VEGAS, NV 89147-8465
(702) 987-1168
Mailing address
10170 W TROPICANA AVE # 156-184, LAS VEGAS, NV 89147-8465
(702) 987-1168
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851756373
—
NV
Enumeration date
04/25/2018
Last updated
04/25/2018
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