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Organization
REGENCY TERRACE SOUTH, INC
Active
Organization
REGENCY TERRACE SOUTH, INC
Active
Other names
HALES CORNERS CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA BERG (ADMINISTRATOR)
(414) 529-6888
Entity
Organization
Contact information
Practice address
9449 W FOREST HOME AVE, HALES CORNERS, WI 53130-1611
(414) 529-6888
(414) 529-1271
Mailing address
9449 W FOREST HOME AVE, HALES CORNERS, WI 53130-1611
(414) 529-6888
(414) 529-1271
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3172
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20176900
—
WI
Enumeration date
06/30/2005
Last updated
08/12/2009
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