# REGENESIS HEALTHCARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ADD Clinic of Arizona
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639934136
- **Authorized official:** MR. SACHIN DIDDEE (CO-OWNER)
- **Authorized official phone:** (480) 739-0007

## Contact information

- **Practice address:** 3303 E BASELINE RD STE 114, GILBERT, AZ 85234-2740
- **Practice address phone:** (480) 553-8517
- **Practice address fax:** (480) 739-9231
- **Mailing address:** 1108 W INDIAN SCHOOL RD STE B, PHOENIX, AZ 85013-3115
- **Mailing address phone:** (602) 773-5600
- **Mailing address fax:** (602) 773-5601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/14/2024
- **Last updated:** 02/14/2024