Organization
A ROYALTY'S LOYALTY CDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REVELYN GUTHRIE (OWVER)
(314) 283-3394
Entity
Organization
Contact information
Practice address
2165 KINGSFORD DR, FLORISSANT, MO 63031-2734
(314) 283-3394
Mailing address
2165 KINGSFORD DR, FLORISSANT, MO 63031-2734
(314) 283-3394
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
04/12/2022
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