Organization
REGENCY MEMORY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN DOUGLAS WOMACK (CEO)
(828) 381-5360
Entity
Organization
Contact information
Practice address
130 STERLING WAY, MOUNT STERLING, KY 40353
(859) 520-5111
(859) 520-5112
Mailing address
130 STERLING WAY, MOUNT STERLING, KY 40353
(859) 520-5111
(859) 520-5112
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
100468
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100468
PERSONAL CARE HOME LICENSE NUMBER
KY
Enumeration date
05/10/2017
Last updated
05/10/2017
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