Organization
REGINA PROVIDING CARE INC.
Active
Other names
Regina Providing Care Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA R. DONALDSON (CEO/OWNER)
(772) 323-0055
Entity
Organization
Contact information
Practice address
800 VIRGINIA AVE STE 42, FORT PIERCE, FL 34982-5893
(772) 323-0055
Mailing address
800 VIRGINIA AVE STE 42, FORT PIERCE, FL 34982-5893
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109053700
—
FL
01
—
30212811
NURSE REGISTRY LICENSE
FL
Enumeration date
08/23/2024
Last updated
08/28/2024
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