NPI 1013668235
Royal Wa Spokane LLC
Practice location
- Address
- 524 E Francis Ave, Spokane, WA 99208-1038
- Phone
- (888) 468-3389
- Mailing address
- 1590 S Congress Ave, Palm Springs, FL 33406-5957
Authorised official
- Name
- Shandalee Jackson
- Title
- Compliance Manager
- Phone
- (561) 562-6271
Registered specialties (2)
Substance Abuse Rehabilitation Facility
Primary
Substance Use Disorder Rehabilitation Clinic/Center
Registry record
- NPI
- 1013668235
- Entity type
- Organization
- NPI issued
- 11 Jan 2022
- Record last updated
- 22 Mar 2022
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.