Organization
REGAL HEALTHCARE SERVICE LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINITWABE ADEME (OWNER)
(678) 581-0878
Entity
Organization
Contact information
Practice address
1223 BANBERRY RD SE, MARIETTA, GA 30067-7701
(678) 581-0878
(678) 290-3141
Mailing address
1223 BANBERRY RD SE, MARIETTA, GA 30067-7701
(678) 581-0878
(678) 290-3141
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
00068830
GA
Other
Enumeration date
02/21/2014
Last updated
02/21/2014
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