OrganizationActive
Royalty Personal Care LLC
NPI 1902080146 · Exclusive Provider Organization · Gonzales, LA
Provider details
- NPI number
- 1902080146
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Authorized official
- Shannon Simmons, Program Administrator
- License
- PCA 14063 (LA)
Practice location
1532 S Burnside Ave Bldg 10a
Gonzales, LA 70737-4444
Phone: (225) 677-9769
Fax: (225) 313-3488
Mailing address
1532 South Burnside Ave.suite 10 a
Gonzales, LA 70707
Registry dates
- Enumerated
- 2007-12-24
- Last updated
- 2007-12-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.