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Individual

MRS. REGINA DENISE TATE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RESIDENTIAL CARE

Contact information

Practice address
917 ONSLOW DR, GREENSBORO, NC 27408-7709
(336) 549-8815
Mailing address
3012 ROYALTON DR, GREENSBORO, NC 27406-6226
(336) 549-8815

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
NC
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
NC

Other

Enumeration date
07/02/2026
Last updated
07/03/2026
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