Team Regency Healthcare, LLC

NPI #1154738490 in Fort Myers, Florida

Provider Information

NPI Number
1154738490
Entity Type
Organization
Organization Name
Team Regency Healthcare, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
SOVEREIGN HEALTHCARE HOLDINGS, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jul 18, 2014
Last Updated
Aug 14, 2014

Practice Location

Address
7173 CYPRESS DR
State
Florida
ZIP Code
33907-2938
Phone
(239) 936-0203

Authorized Official

Name
MR. R. MARK CRONQUIST
Title
MANAGER
Phone
(404) 574-2100

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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