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Organization

REGENERATION ADULT LIFE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHANIE WYNN BSHA (OWNER)
(706) 315-2218
Entity
Organization

Contact information

Practice address
800 BROWN AVE, COLUMBUS, GA 31906-3647
(706) 315-2218
Mailing address
6197 TRESTLEWOOD DR, A, COLUMBUS, GA 31909-2949
(706) 315-2218

Taxonomy

Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary

Other

Enumeration date
04/15/2011
Last updated
04/15/2011
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