Organization
ROYALTY ENTERPRISES LLC
Active
Other names
Royalty Consumer Directed Services
Organization subpart
No
Provider details
NPI number
Authorized official
TAWANA LATRICE AUSTIN (MANAGER)
(314) 397-6578
Entity
Organization
Contact information
Practice address
3748 DELOR ST, SAINT LOUIS, MO 63116-4154
(314) 706-2854
Mailing address
3748 DELOR ST, SAINT LOUIS, MO 63116-4154
(314) 706-2854
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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