Regency Terrace South, INC
NPI #1003813569 in Hales Corners, Wisconsin
Provider Information
- NPI Number
- 1003813569
- Entity Type
- Organization
- Organization Name
- Regency Terrace South, INC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 30, 2005
- Last Updated
- Aug 12, 2009
Practice Location
- Address
- 9449 W FOREST HOME AVE
- City
- Hales Corners
- State
- Wisconsin
- ZIP Code
- 53130-1611
- Phone
- (414) 529-6888
Authorized Official
- Name
- MRS. CYNTHIA BERG
- Title
- ADMINISTRATOR
- Phone
- (414) 529-6888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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