Organization
REGAL PALMS LIMITED PARTNERSHIP
Active
Other names
Regal Palms
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES A WEICHERT (AUTHORIZED OFFICIAL)
(952) 361-8000
Entity
Organization
Contact information
Practice address
300 LAKE AVE NE, LARGO, FL 33771-6605
(727) 437-1350
(727) 437-1365
Mailing address
1107 HAZELTINE BLVD, SUITE 200, CHASKA, MN 55318-1009
(952) 361-8000
(952) 361-8058
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9570
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06493
UNIVERSAL HEALTHCARE
—
01
—
235126
AMERIGROUP
—
05
—
681327500
—
FL
Enumeration date
06/16/2006
Last updated
04/06/2020
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