NPI 1003510611
Royal Heritage INC
Practice location
- Address
- 734 N 112th Dr, Avondale, AZ 85323-7904
- Phone
- (480) 913-4085
Authorised official
- Name
- Prosper Adewunmi Adeparusi
- Title
- Ceo
- Phone
- (622) 277-8542
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1003510611
- Entity type
- Organization
- NPI issued
- 28 Mar 2023
- Record last updated
- 28 Mar 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.