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Organization

REGENCY ASSISTED LIVING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FAHIM UDDIN (MEMBER)
(313) 549-7708
Entity
Organization

Contact information

Practice address
211 W WALLACE ST, ASHLEY, MI 48806-9605
(989) 847-2188
Mailing address
30700 TELEGRAPH RD STE 2504, BINGHAM FARMS, MI 48025-4571
(248) 593-1990

Taxonomy

Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary

Other

Enumeration date
05/12/2021
Last updated
05/12/2021
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