ROYAL HEALTH & WELLNESS CLINIC LLC


Address: 108 Riverbirch Dr, Lafayette, LA 70508-1819
Phone: 3377392058

ROYAL HEALTH & WELLNESS CLINIC LLC (NPI# 1326676479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326676479
Entity Type Organization
Organization Name ROYAL HEALTH & WELLNESS CLINIC LLC
Practice Address 108 Riverbirch Dr
Lafayette
LA 70508-1819
Practice Telephone 3377392058
Mailing Telephone 3377392058
Enumeration Date 2020-04-01
Last Update Date 2020-04-01
Authorized Official Name MS. HELEN AJALA (FAMILY NURSE PRACTITIONER)
Authorized Official Telephone 3377392058
Authorized Official Credential NP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
LA 2436082 05

Office Location

Street Address 108 RIVERBIRCH DR
City LAFAYETTE
State LA
Zip Code 70508-1819

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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1427425883 Anu Gupta Desai, M.d., LLC Clinic/Center 155 Hospital Dr., Ste 300, Lafayette, LA 70503 2015-09-01
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1982045035 Lafayette Family Healthcare Inc Clinic/Center 2008 Eraste Landry Rd, Suite B, Lafayette, LA 70506-1913 2013-07-17
1467710608 Pediakare De Lousiana Clinic/Center 900 Walker Rd, Lafayette, LA 70506-1371 2012-04-25
1497084743 Am Health Services LLC Clinic/Center 323 Patterson St, Building # 12, Lafayette, LA 70501-2859 2009-12-16
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Competitor

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City LAFAYETTE
Zip Code 70508

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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