Organization
ROYAL HEIR HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMIKA M JACKSON NURSE PRACTITIONER (CEO/ADMINISTRATOR)
(816) 206-5198
Entity
Organization
Contact information
Practice address
7001 NE 116TH TER, KANSAS CITY, MO 64156-7926
(816) 382-9193
Mailing address
7001 NE 116TH TER, KANSAS CITY, MO 64156-7926
(816) 382-9193
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/28/2021
Last updated
12/08/2021
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