Organization
ROYALTY CARE LLC
Active
Other names
Royalty Consumer Directed Service LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATARA RANIECE KING (OWNER)
(314) 437-1457
Entity
Organization
Contact information
Practice address
4625 LINDELL BLVD # 214, SAINT LOUIS, MO 63108-3725
(314) 649-5421
(336) 890-8523
Mailing address
PO BOX 11027, SAINT LOUIS, MO 63135-0027
(314) 649-5421
(336) 890-8523
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25573926
MOID
MO
Enumeration date
03/04/2019
Last updated
03/04/2019
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