Organization
REGENCY HOUSE OF WALLINGFORD, INC.
Active
Other names
Regency House Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL GLASS (DIRECTOR OF COMPLIANCE)
(203) 265-1661
Entity
Organization
Contact information
Practice address
181 E MAIN ST, WALLINGFORD, CT 06492-3947
(203) 265-1661
(203) 265-7842
Mailing address
181 E MAIN ST, WALLINGFORD, CT 06492-3947
(203) 265-1661
(203) 265-7842
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2072C
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000009084
—
CT
Enumeration date
12/05/2006
Last updated
10/04/2011
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