Organization
ANGLES OF ROYAL HOME HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN ROYAL (OWNER)
(314) 795-5057
Entity
Organization
Contact information
Practice address
2317 DRIFTWOOD PL, SAINT LOUIS, MO 63146-2410
(314) 795-5057
Mailing address
2317 DRIFTWOOD PL, SAINT LOUIS, MO 63146-2410
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
853993426
—
MO
Enumeration date
01/26/2021
Last updated
01/26/2021
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