Organization
REGENCY ADULT HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCIS NYIRONGO (MANAGER)
(602) 367-1108
Entity
Organization
Contact information
Practice address
901 W PORT ROYALE LN, PHOENIX, AZ 85023-5298
(602) 375-1670
Mailing address
901 W PORT ROYALE LN, PHOENIX, AZ 85023-5298
(602) 375-1670
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004066
—
AZ
Enumeration date
04/26/2021
Last updated
04/26/2021
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