NPI 1003813569

Regency Terrace South, INC

Organisation Skilled Nursing Facility Hales Corners, WI

Practice location

Address: 9449 W Forest Home Ave, Hales Corners, WI 53130-1611
Phone: (414) 529-6888
Fax: (414) 529-1271

Authorised official

Name: Cynthia Berg
Title: Administrator
Phone: (414) 529-6888

Registered specialties

Skilled Nursing Facility Primary

Nursing & Custodial Care Facilities Taxonomy 314000000X Licence 3172 (WI)

Other Skilled Nursing Facility providers in Wisconsin →

Registry record

NPI: 1003813569
Entity type: Organization
NPI issued: 30 Jun 2005
Record last updated: 12 Aug 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.