Organization
THE REGENCY SENIOR CLUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELAINE CATHERINE WOZNIAK NP (PRESIDENT)
(520) 209-1940
Entity
Organization
Contact information
Practice address
2972 N CAMPBELL AVE, TUCSON, AZ 85719-2813
(520) 209-1940
(520) 579-9954
Mailing address
2972 N CAMPBELL AVE, TUCSON, AZ 85719-2813
(520) 209-1940
(520) 579-9954
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
AL9994D
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
845737
—
AZ
Enumeration date
03/09/2017
Last updated
03/09/2017
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