# REGENCY ADULT HOME CARE

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

## Provider details

- **NPI number:** 1588866420
- **Authorized official:** MRS. OTILIA POPA (OWNER MANAGER)
- **Authorized official phone:** (602) 375-1670

## Contact information

- **Practice address:** 901 W PORT ROYALE LN, PHOENIX, AZ 85023-5298
- **Practice address phone:** (602) 375-1670
- **Practice address fax:** (602) 375-1396
- **Mailing address:** 901 W PORT ROYALE LN, PHOENIX, AZ 85023-5298
- **Mailing address phone:** (602) 375-1670
- **Mailing address fax:** (602) 375-1396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 2315 | AZ | Yes |

## Other

- **Enumeration date:** 06/04/2007
- **Last updated:** 08/22/2020