| Royal Health & Wellness Clinic Llc | |
|
850 Kaliste Saloom Rd Ste 104 Lafayette LA 70508-4230 | |
| (337) 281-9144 | |
| Not Available |
| Full Name | Royal Health & Wellness Clinic Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 850 Kaliste Saloom Rd Ste 104, Lafayette, Louisiana |
| Authorized Official Name and Position | Helen Ajala (FAMILY NURSE PRACTITIONER/ PMHNP) |
| Authorized Official Contact | 3377392058 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Royal Health & Wellness Clinic Llc 108 Riverbirch Dr Lafayette LA 70508-1819 Ph: (337) 739-2058 | Royal Health & Wellness Clinic Llc 850 Kaliste Saloom Rd Ste 104 Lafayette LA 70508-4230 Ph: (337) 281-9144 |
| NPI Number | 1326676479 |
|---|---|
| Provider Enumeration Date | 04/01/2020 |
| Last Update Date | 07/14/2021 |
| Medicare PECOS PAC ID | 1052731692 |
|---|---|
| Medicare Enrollment ID | O20201020001251 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326676479 | NPI | - | NPPES |
| 2436082 | Medicaid | LA |
| Provider Name | Helen O Ajala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174070767 PECOS PAC ID: 0648530246 Enrollment ID: I20180130001009 |
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