Organization
REGENCY ADULT HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. OTILIA POPA (OWNER MANAGER)
(602) 375-1670
Entity
Organization
Contact information
Practice address
901 W PORT ROYALE LN, PHOENIX, AZ 85023-5298
(602) 375-1670
(602) 375-1396
Mailing address
901 W PORT ROYALE LN, PHOENIX, AZ 85023-5298
(602) 375-1670
(602) 375-1396
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
2315
AZ
Other
Enumeration date
06/04/2007
Last updated
08/22/2020
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