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ROYAL LIFE CENTERS LLC NPI 1811449721


NPI Information

NPI: 1811449721
Provider Name: ROYAL LIFE CENTERS, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 03D2170166

Address:
831 GAIL GARDNER WAY
PRESCOTT, AZ
ZIP 86305
Phone: (954) 304-3047
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ROYAL LIFE CENTERS, LLC is a substance abuse rehabilitation facility in Prescott, AZ. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. ROYAL LIFE CENTERS, LLC NPI is 1811449721. The provider is registered as an organization entity type.

The provider's business location address is:

831 GAIL GARDNER WAY
PRESCOTT, AZ
ZIP 86305-606
Phone: (954) 304-3047
Fax: (800) 871-3317

The provider's authorized official is Frank Cid .
The authorized official title is Member-sole and has the following contact phone number (954) 304-3047.

The CLIA number assigned to this NPI record is 03D2170166 - other - substance abuse treatment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/26/2016 and was last updated on 10/26/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation FacilityARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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