ROYALTY PERSONAL CARE LLC

GONZALES, LA
NPI1902080146
Entity TypeOrganization
Authorized ContactSHANNON WILLIAMS SIMMONS
Program Administrator
225-803-8217
Organization Subpart ?No
Primary Taxonomy302F00000X Exclusive Provider Organization
(Licence: LA  PCA 14063)
Enumeration Date2007-12-24
Last Update Date2007-12-24
Business Address
ROYALTY PERSONAL CARE LLC
1532 S BURNSIDE AVE BLDG 10A
GONZALES, LA 70737-4444
Phone number: 225-677-9769
Mailing Address
ROYALTY PERSONAL CARE LLC
1532 SOUTH BURNSIDE AVE.SUITE 10 A
GONZALES, LA 70707
Phone number: 225-677-9769