ROYAL LIFE CENTERS LLC NPI 1295110476

NPI Information

NPI: 1295110476
Provider Name: ROYAL LIFE CENTERS, LLC

Doing Business As: ROYAL LIFE CENTERS

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 03D2072724

Address:
655 W GURLEY ST
PRESCOTT, AZ
ZIP 86305
Phone: (877) 732-6837
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ROYAL LIFE CENTERS, LLC is a rehabilitation and substance use disorder clinic center in Prescott, AZ. ROYAL LIFE CENTERS, LLC NPI is 1295110476. The provider is registered as an organization entity type.
The provider Is Doing Business As Royal Life Centers.

The provider's business location address is:

655 W GURLEY ST
PRESCOTT, AZ
ZIP 86305-619
Phone: (877) 732-6837

The provider's authorized official is Eric Andrews .
The authorized official title is Director Of Quality Assurance and has the following contact phone number (928) 379-3097.

The CLIA number assigned to this NPI record is 03D2072724 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2015 and was last updated on 5/30/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	OTC8105	ARIZONA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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