Organization
400 VISION DRIVE OPERATIONS LLC
Active
Parent organization
REGENCY HEALTH SERVICES LLC
Other names
WOODLAND HILL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGENCY HEALTH SERVICES LLC
Authorized official
MICHAEL T BERG (AUTHORIZED OFFICIAL)
(505) 468-4742
Entity
Organization
Contact information
Practice address
400 VISION DR, ASHEBORO, NC 27203-3855
(336) 672-5450
Mailing address
101 E STATE ST, KENNETT SQUARE, PA 19348-3109
(610) 444-6350
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
LICENSE
NC
Enumeration date
04/29/2019
Last updated
04/29/2019
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