Provider Demographics
NPI:1750925970
Name:ROYAL TOUCH HOME HEALTH LLC
Entity type:Organization
Organization Name:ROYAL TOUCH HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GANEISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BURKS-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:314-971-8094
Mailing Address - Street 1:1310 HARTING DR
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031-1970
Mailing Address - Country:US
Mailing Address - Phone:314-971-8094
Mailing Address - Fax:866-950-4040
Practice Address - Street 1:1310 HARTING DR
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-1970
Practice Address - Country:US
Practice Address - Phone:314-971-8094
Practice Address - Fax:866-950-4040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-30
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care