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Royal Life Centers, LLC

Clinic/Center, Rehabilitation, Substance Use Disorder in Puyallup, WA. Organization (NPI-2).

NPI number1376998633
StatusActive
Last updated in NPPESApr 25, 2016

Details

NPI
1376998633
Entity type
Organization (NPI-2)
Legal business name
Royal Life Centers, LLC
Organization subpart
No
Enumeration date
Apr 25, 2016
Last updated
Apr 25, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder–WAYes

Practice location

201 Valley Ave Nw
Puyallup, WA 98371-3305

Phone 561-270-3481

Mailing address

701 S Swinton Ave
Apt G
Delray Beach, FL 33444-2377

Phone 561-270-3481

Authorized official

Frank Cid
Ceo
5612703481

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