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NPI Code Detail

MEDICARE: ROYAL DIRECT CARE SERVICES

MEDICARE: ROYAL DIRECT CARE SERVICES
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 AgencyMO

General Provider Information

NPI Number : 1891935219
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROYAL DIRECT CARE SERVICES
Provider Business Mailing Address
First Line : 11140 OLD SAINT CHARLES RD
Second Line :
City : SAINT ANN
State : MO
Zip : 63074-2113
Country : US
Telephone Number : 314-429-6949
Fax Number : 314-429-6949
Provider Business Practice Location Address
First Line : 11140 OLD SAINT CHARLES RD
Second Line :
City : SAINT ANN
State : MO
Zip : 63074-2113
Country : US
Telephone Number : 314-429-6949
Fax Number : 314-429-6949
Authorized Official
Title or Position : CEO
Name : ADRAIN LYNN GILLISPIE
Credential :
Telephone Number : 314-429-6949
Provider Enumeration Date : 02/25/2009
Last Update Date : 04/12/2010

Similar Medicare Providers

1811996143 — MRS. TRACIE BERRY-MCGHEE M.ED LPC
Practice Location Address:
11138 OLD SAINT CHARLES RD
SAINT ANN, MO
63074-2113
Practice Phone: 314-344-0983
Practice Fax:
1487628491 — MRS. JEWELL PATRICIA HICKMAN LPC
Practice Location Address:
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SAINT ANN, MO
63074-2113
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Practice Fax: 314-344-0983
1679899702 — ADRAIN GILLISPIE
Practice Location Address:
11140 OLD SAINT CHARLES RD
SAINT ANN, MO
63074-2113
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Practice Fax:
1356875280 — ROYAL DIRECT CARE SERVICE LLC
Practice Location Address:
11138 OLD SAINT CHARLES RD
SAINT ANN, MO
63074-2113
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Practice Fax: 314-755-1028
1710545652 — ROYAL FAMILY SERVICES LLC DBA ROYAL ADULT DAY CENTER
Practice Location Address:
11138 OLD SAINT CHARLES RD
SAINT ANN, MO
63074-2113
Practice Phone: 314-755-1065
Practice Fax:
1841941515 — ROYAL LAB SERVICESLLC
Practice Location Address:
11138 OLD SAINT CHARLES RD
SAINT ANN, MO
63074-2113
Practice Phone: 314-755-1065
Practice Fax: 314-755-1028

Directions to “ROYAL DIRECT CARE SERVICES ” Practice Location

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