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Organization

REGENCY CARE OF CLEMMONS, LLC

Active
Other names
Regency Care of Clemmons
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEVEN D. WOMACK CPA (MANAGING MEMBER)
(828) 381-5360
Entity
Organization

Contact information

Practice address
3905 CLEMMONS ROAD, CLEMMONS, NC 27012-8479
(336) 766-9158
(336) 766-8666
Mailing address
PO BOX 1667, HICKORY, NC 28603-1667
(828) 324-8898
(828) 322-9598

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NH0404
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3435131
NC
01
923335
FACILITY ID NUMBER
NC
01
NH0404
STATE LICENSE
NC
Enumeration date
11/28/2006
Last updated
04/22/2015
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