Organization
REGENCY SENIOR CLUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELAINE CATHERINE WOZNIAK N.P. (PRESIDENT)
(520) 488-9790
Entity
Organization
Contact information
Practice address
2972 N CAMPBELL AVE, TUCSON, AZ 85719-2813
(520) 488-9790
(520) 579-9954
Mailing address
5472 W KARA NICOLE CT, TUCSON, AZ 85742-8478
(520) 488-9790
(520) 579-9954
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
845737
—
AZ
Enumeration date
05/25/2016
Last updated
05/25/2016
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