Royal Wa Spokane LLC
Clinic/Center, Rehabilitation, Substance Use Disorder in Mead, WA. Organization (NPI-2).
NPI number1013668078
StatusActive
Last updated in NPPESMay 20, 2025
Details
- NPI
- 1013668078
- Entity type
- Organization (NPI-2)
- Legal business name
- Royal Wa Spokane LLC
- Organization subpart
- No
- Enumeration date
- Jan 12, 2022
- Certification date
- May 20, 2025
- Last updated
- May 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0405X | Clinic/Center, Rehabilitation, Substance Use Disorder | – | – | Yes |
Other names
- Royal Life Centers (Doing Business As)
Practice location
14525 N Newport HwyMead, WA 99021-9636
Phone 855-468-3369
Mailing address
1590 S Congress AvePalm Springs, FL 33406-5957
Phone 347-693-4239
Authorized official
Janice Vaysberg
Cfo
8473455541
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