Organization
REGENCY TERRACE SOUTH, INC
Active
Other names
HALES CORNERS CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA BERG (ADMINISTRATOR)
(414) 529-6888
Entity
Organization
Contact information
Practice address
9449 W FOREST HOME AVE, HALES CORNERS, WI 53130-1611
(414) 529-6888
(414) 529-1271
Mailing address
9449 W FOREST HOME AVE, HALES CORNERS, WI 53130-1611
(414) 529-6888
(414) 529-1271
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
3172
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20176900
—
WI
Enumeration date
06/30/2005
Last updated
08/12/2009
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