Organization
REGENCY ADULT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA DENISE PAYNE (DIRECTOR)
(314) 899-0051
Entity
Organization
Contact information
Practice address
1610 N KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63113-1231
(314) 899-0051
(314) 361-3448
Mailing address
1610 N KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63113-1231
(314) 899-0051
(314) 361-3448
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
1408
MO
Other
Enumeration date
04/24/2017
Last updated
04/24/2017
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