Organization
REGENCY PARK ASSISTED LIVING OPS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE SIMON (MGR)
(847) 471-1531
Entity
Organization
Contact information
Practice address
15000 US HIGHWAY 441, EUSTIS, FL 32726-6589
(352) 609-2040
Mailing address
4200 NW 2ND AVE, MIAMI, FL 33127-2802
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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