CCN: 675844 NPI: 1073089660 Organization

ROYAL MANOR WEST

9114 ROYAL LN
WACO, TX 767128469

Contact Information

Phone 2547415929
Enumeration Date 2018-10-22
Last Updated 2018-10-22

Taxonomies

Code: 314000000X (Primary)

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 7

cbsaActualGeographicLocation 47380

providerType 38

vbpAdjustment 1.0

censusDivision 7

cbsaActualGeographicLocation 47380

providerType 38

vbpAdjustment 0.9809232241

censusDivision 7

cbsaActualGeographicLocation 47380

providerType 38

vbpAdjustment 0.9809232241

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 47380

providerType 38

specialPaymentIndicator

carrierCode 04412

localityCode 99