Organization
REGENERISE HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUTHURINE HANNAM-DAVIS (APRN)
(860) 994-7339
Entity
Organization
Contact information
Practice address
300 CHURCH ST STE 103, YALESVILLE, CT 06492-2253
(860) 994-7339
Mailing address
300 CHURCH ST STE 103, YALESVILLE, CT 06492-2253
(860) 994-7339
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
07/16/2023
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