Regis Legacy LLC

NPI #1245062439 in Richmond, Texas

Provider Information

NPI Number: 1245062439
Entity Type: Organization
Organization Name: Regis Legacy LLC
Primary Specialty: Foster Care Agency
Enumeration Date: Aug 15, 2024
Last Updated: Oct 14, 2024

Practice Location

Address: 21310 PLUM GATE CT
City: Richmond
State: Texas
ZIP Code: 77407-1425
Phone: (832) 613-4377

Authorized Official

Name: MR. OLUWASEGUN ISAAC OLUDIRAN
Title: PRESIDENT
Phone: (832) 613-4377

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X
Foster Care Agency	253J00000X	Primary

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