Organization
REGAL ADULT DAY SERVICE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE BANDY (PRESIDENT)
(219) 384-0605
Entity
Organization
Contact information
Practice address
502 W 142ND ST, EAST CHICAGO, IN 46312-2534
(219) 384-0605
(219) 413-5245
Mailing address
502 W 142ND ST, EAST CHICAGO, IN 46312-2534
(219) 384-0605
(219) 413-5245
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
311ZA0620X
Adult Care Home Facility
—
—
347C00000X
Private Vehicle
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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