MRS. PAMELA VANTRICE ROYSTON MO HEALTH NET PROVID
NPI 1649742842
Clinic/Center - Adult Day Care in Florissant, MO
Active since December 28, 2018
11581 W FLORISSANT AVE, FLORISSANT, MO 63033(314) 664-5155(866) 255-9006 Get Directions Write a Review
About Mrs. Pamela Vantrice Royston Mo Health Net Provid NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. PAMELA VANTRICE ROYSTON MO HEALTH NET PROVID (NPI 1649742842) is an individual adult day care provider in Florissant, Missouri and active in the NPI registry since December 2018.
NPPES Registry Identity
NPI1649742842
Entity TypeIndividualFemale
Primary Taxonomy261QA0600X
Provider Legal NameMRS. PAMELA VANTRICE ROYSTONCredential: MO HEALTH NET PROVID
Location Address11581 W FLORISSANT AVEFlorissant, MO 63033-6740
Mailing Address11581 W Florissant AveFlorissant, MO 63033-6740 · (314) 664-5155 · Fax (866) 255-9006
Phone(314) 664-5155
Fax(866) 255-9006
Sole ProprietorYes
Enumeration DateDecember 28, 2018
✔ NPI 1649742842 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
11581 W FLORISSANT AVE, Florissant, MO 63033
Other Names 1
Former Name (1)Miss Pamela Vantrice Greer Hcbs Provider Since
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
In Home Supportive Care
11581 W FLORISSANT AVE
FLORISSANT, MO 63033
FLORISSANT, MO 63033
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649742842, enumerated as an "individual" on December 28, 2018.
The provider is located at 11581 W FLORISSANT AVE FLORISSANT, MO 63033 and the phone number is (314) 664-5155.
Clinic/Center with taxonomy code 261QA0600X and a focus in Adult Day Care.
