Regency House Of Wallingford, INC.
Skilled Nursing Facility in Wallingford, CT. Organization (NPI-2).
NPI number1528126232
StatusActive
Last updated in NPPESOct 4, 2011
Details
- NPI
- 1528126232
- Entity type
- Organization (NPI-2)
- Legal business name
- Regency House Of Wallingford, INC.
- Organization subpart
- No
- Enumeration date
- Dec 5, 2006
- Last updated
- Oct 4, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | 2072C | CT | Yes |
Other names
- Regency House Nursing And Rehabilitation Center (Doing Business As)
Practice location
181 E Main StWallingford, CT 06492-3947
Phone 203-265-1661 · Fax 203-265-7842
Mailing address
181 E Main StWallingford, CT 06492-3947
Phone 203-265-1661 · Fax 203-265-7842
Authorized official
Paul Glass
Director Of Compliance
2032651661
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