Provider Demographics
NPI:1174982706
Name:ROYAL COMFORT CARE, LLC
Entity type:Organization
Organization Name:ROYAL COMFORT CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ALLON
Authorized Official - Middle Name:
Authorized Official - Last Name:SHELLY
Authorized Official - Suffix:
Authorized Official - Credentials:MBR
Authorized Official - Phone:310-570-0077
Mailing Address - Street 1:14003 ELMCROFT AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-3713
Mailing Address - Country:US
Mailing Address - Phone:310-570-0077
Mailing Address - Fax:310-919-1616
Practice Address - Street 1:14003 ELMCROFT AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-3713
Practice Address - Country:US
Practice Address - Phone:310-570-0077
Practice Address - Fax:310-919-1616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-10
Last Update Date:2016-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility