# REGENCY SENIOR CLUB

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154779635
- **Authorized official:** MS. ELAINE CATHERINE WOZNIAK N.P. (PRESIDENT)
- **Authorized official phone:** (520) 488-9790

## Contact information

- **Practice address:** 2972 N CAMPBELL AVE, TUCSON, AZ 85719-2813
- **Practice address phone:** (520) 488-9790
- **Practice address fax:** (520) 579-9954
- **Mailing address:** 5472 W KARA NICOLE CT, TUCSON, AZ 85742-8478
- **Mailing address phone:** (520) 488-9790
- **Mailing address fax:** (520) 579-9954

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 05/25/2016
- **Last updated:** 05/25/2016