# REGENCY MEMORY CARE

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

## Provider details

- **NPI number:** 1366978538
- **Authorized official:** MR. STEVEN DOUGLAS WOMACK (CEO)
- **Authorized official phone:** (828) 381-5360

## Contact information

- **Practice address:** 130 STERLING WAY, MOUNT STERLING, KY 40353
- **Practice address phone:** (859) 520-5111
- **Practice address fax:** (859) 520-5112
- **Mailing address:** 130 STERLING WAY, MOUNT STERLING, KY 40353
- **Mailing address phone:** (859) 520-5111
- **Mailing address fax:** (859) 520-5112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 100468 | KY | Yes |

## Other

- **Enumeration date:** 05/10/2017
- **Last updated:** 05/10/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 100468 | PERSONAL CARE HOME LICENSE NUMBER | KY |