Organization
REGENCY MANAGEMENT INC BOLLINGER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN WALLIS (SENIOR VICE PRESIDENT)
(537) 334-9661
Entity
Organization
Contact information
Practice address
1330 SOUTHERN EXPY, CAPE GIRARDEAU, MO 63703-7706
(573) 334-9661
(573) 334-9655
Mailing address
PO BOX 831, CAPE GIRARDEAU, MO 63702-0831
(573) 334-9661
(573) 334-9655
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
01/16/2007
Last updated
09/11/2025
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