NPI:
1336890854
Provider Name:
ROYAL WA LACEY LLC
Doing Business As: ROYAL LIFE CENTERS
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
8645 MARTIN WAY E
LACEY, WA
ZIP 98516
Phone:
(855) 468-3369
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ROYAL WA LACEY LLC is a rehabilitation and substance use disorder clinic center in Lacey, WA. ROYAL WA LACEY LLC NPI is 1336890854. The provider is registered as an organization entity type.
The provider Is Doing Business As Royal Life Centers.
The provider's business location address is:
8645 MARTIN WAY E
LACEY, WA
ZIP 98516-851
Phone: (855) 468-3369
The provider's authorized official is Shandalee Jackson .
The authorized official title is Compliance Manager and has the following contact phone number (561) 562-6271.
The enumeration date for this NPI number is 1/17/2022 and was last updated on 3/22/2022.