- Enrollment id
- O20070427000251
- Enrollment state
- MI
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1649328857
- Multiple npi flag
- N
- Ccn
- 237742
- Associate id
- 2062516602
- Organization name
- ROYALCARE, INC.
- Incorporation date
- 2006-11-30
- Incorporation state
- MI
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 7125 ORCHARD LAKE RD
- Address line 2
- STE 303
- City
- WEST BLOOMFIELD
- State
- MI
- Zip code
- 483223620
- Practice location type
- HHA BRANCH