Organization
REGINA LEE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATISHA GRAY (DIRECTOR OF OPERATIONS)
(267) 261-5008
Entity
Organization
Contact information
Practice address
100 S BROAD ST STE 1525, PHILADELPHIA, PA 19110-1026
(267) 261-5008
Mailing address
100 S BROAD ST STE 1525, PHILADELPHIA, PA 19110-1026
(267) 261-5008
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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