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NPI Code Detail

MEDICARE: ROYALTY HEALTHCARE

MEDICARE: ROYALTY HEALTHCARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1750769048
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROYALTY HEALTHCARE
Provider Business Mailing Address
First Line : 111 W PORT PLZ STE 600
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63146-3015
Country : US
Telephone Number : 314-971-3658
Fax Number :
Provider Business Practice Location Address
First Line : 111 W PORT PLZ STE 600
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63146-3015
Country : US
Telephone Number : 314-971-3658
Fax Number :
Authorized Official
Title or Position : CEO AND PRESIDENT
Name : ALICE MATTIE PRINCE
Credential :
Telephone Number : 314-542-3036
Provider Enumeration Date : 05/07/2015
Last Update Date : 01/11/2021

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Directions to “ROYALTY HEALTHCARE ” Practice Location

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