Healthcare Provider Details

I. General information

NPI: 1487639563
Provider Name (Legal Business Name): REGENCY HEALTHCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2005
Last Update Date: 12/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 W 7TH ST
POST TX
79356-3141
US

IV. Provider business mailing address

605 W 7TH ST
POST TX
79356-3141
US

V. Phone/Fax

Practice location:
  • Phone: 806-495-2848
  • Fax: 806-495-3976
Mailing address:
  • Phone: 806-495-2848
  • Fax: 806-495-3976

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number675716
License Number StateTX

VIII. Authorized Official

Name: MRS. NANCY LYNCH
Title or Position: V.P. OF OPERATIONS
Credential:
Phone: 806-495-2848