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Contact Information

ROYALTON MANOR, LLC
288 PEACE BOULEVARD
SAINT JOSEPH, MI49085
 Phone: 269-556-9050
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for ROYALTON MANOR, LLC

NPI Number 1598816423
LBN Legal business name ROYALTON MANOR, LLC
Authorized official MOHAMMAD QAZI - (CEO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/16/2007
Last updated 03/30/2010 - About 16 years ago
Identifiers
MI Medicaid 5184958
Other 09792 BCBSM
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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